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Home > Patient Information > Online Health Management > Forms > Risk Factor Questionnaire

Risk Factor and Healthy History Questionnaire

Click on the link below and a printable form will appear in your browser. After printing it, you can fill out the form prior to visiting your Lifetime Health primary care physician for the first time. Please also bring all your medications with you to your physical exam.

Files to Download:
Risk Factor and Health History Questionnaire
(67 KB)