Welcome to The Life Clinic. Please complete this Registration form to receive the links to our fillable New Patient Intake and Consent Forms via email.
IF YOU DO NOT SEE AN EMAIL IN YOUR INBOX PLEASE CHECK YOUR SPAM FOLDER
Please complete and submit the intake, read and SIGN the Consent form and reply to the email with a copy of your insurance card (front & back) and a member of our team will reach out to you to complete the booking process.