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Online Forms

Centre for Healing Arts offers our patient form(s) online so they can be completed in the convenience of your own home or office.
  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
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Centre for Healing Arts

695 N Lewis Rd., Limerick, PA 19468
Monday:
9:00 am - 11:30 am | 3:00 pm - 6:30 pm
Tuesday:
3:00 pm - 6:30 pm
Wednesday:
9:00 am - 11:30 am | 3:00 pm - 6:30 pm
Closed
Thurday:
9:00 am - 11:30 am
Friday:
By Appointment Only
Saturday:
Closed
Sunday:
Please do not submit any Protected Health Information (PHI).
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695 N Lewis Rd.
Limerick, PA 19468