Download Patient Forms

New Patient Forms. If filling out online, please email to info@integrativehealingwellness.com
IHWDocfillable.pdf
Adobe Acrobat document [563.5 KB]

Patient Forms Registration

 

Our practice uses a system called LivingMatrix to assess your health and identify the root cause of your symptoms. One of the many benefits of using this application is that it saves our practice time on the intake process – meaning more time for us to paint a comprehensive picture of our patients’ health histories with them.

 

There are benefits for our patients, too. Since your paperwork is done electronically, you don’t have to print out and handwrite any information, and there’s no risk of your information being lost or thrown away by mistake. We are able to personalize your information in real time and provide you with a hard copy of your health assessment. You’ll not only gain useful insight into your health during your visit, but you’ll walk away from your appointment with an understandable, easy-to-read view of your current health, a list of health goals, and, if necessary, a functional medicine prescription.

 

Please click the link below and register your LivingMatrix account. You will choose a personal password (at least 8 characters in length). Click “Update Password” and begin entering all patient demographic information and click “Submit.” You’ll then be taken to the dashboard, which lists all of the forms you will need to complete before your appointment.

 

You should save your progress as you work through each section. (Please keep in mind that the forms may take as long as an hour to complete. If you do not remember the specific month and date of an occurrence you may enter “01/01/YEAR” as an estimate - the month and exact day are less important that the year.) Once you have completed all of the sections, please click “Submit.” (NOTE: Once you click submit, you will not be able to go back and edit information, as submitting forms locks in your information for your practitioner to review.)

  

In order for us to get a comprehensive idea of your health history, you will need to complete all sections of the forms you receive.

 

We look forward to seeing you at your appointment and reviewing your information with you.

 

If you have any questions about the intake forms and the completion process, please call LivingMatrix at 1-866-846-7888. If you have questions about your appointment or have any medical questions, please contact us directly.

 

 

 

Watch New Patient Tutorial

 

 

New Patient Tutorial from LivingMatrix on Vimeo.

 Schedule an Appointment

              Visit us

Integrative Healing Wellness, Inc

903 Main Street

Suite 104/105

Port Jefferson, NY 11777

 

       Connect With Us

Recommend this page on: