Patient’s Area

Patient’s Registration

Healing HandZ offers patient forms online so you can complete it in the convenience of your own home or office.

  • Download the necessary form(s), print it out and fill in the required information.
    Note: If you do not already have AdobeReader installed on your computer, Click Here
  • Mail/Fax us your printed and completed form(s) or bring it with you to your appointment.

If you have any questions/concerns regarding these forms and/or about your health that we can help you with? Let us know!

Common Patient Forms:

New Patient Form

MediCare Patients (Additional Forms):

Medicare Secondary Payor Questionnaire
New Patient Form

United HealthCare Patients (Additional Forms):

Patient Summary From