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Patient Forms

Restor Healing Centre offers our patient medical record forms online so they can be completed in the convenience of your own home or office in 3 easy steps.

1. If you do not already have AdobeReader® installed on your computer, Click Here to download.

2. Download the necessary form(s), print it out and fill in the required information.

3. Fax us your printed and completed form(s) or bring it with you to your appointment. 

New Patient Health History Form

Patient Privacy Forms:   Form 1 Form 2

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Take the health assessment to determine your health score. Then, call the office with your score and Dr. Sargent will get you back on track toward a healthy lifestyle!

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Restor Healing Centre

416 E. Roosevelt Road, Suite 107

Wheaton, IL 60187

Phone: 630-682-5090

Fax: 630-260-1230

Email: info@restornow.com

Welcome to Dr. Strehl's Patients!