PARACELSUS PATIENT INTAKE FORMS

Prepare for Your First Appointment

Help us understand your health story before your visit so we can spend more time focusing on solutions.

Completing your intake forms ahead of time allows our doctors to review your health history and come prepared with questions and insights specific to your situation. This means more time during your appointment for discussion, examination, and creating your personalized treatment plan.

Why We Need This Information

We need to understand your complete health journey, family history, and lifestyle factors to identify root causes. Your symptoms didn’t start in isolation, and knowing what treatments you’ve already tried helps us avoid repeating ineffective approaches while building on what’s worked.

Understanding your personal health goals also helps us create a treatment plan that aligns with your values and lifestyle.

Access Your Forms

After scheduling your first appointment, our staff will send you a secure link
to complete your intake forms online through our patient portal.

Adult Patient

Comprehensive health assessment including medical history, current symptoms, medications, supplements, family history, and detailed review of body systems

Pediatric Patient

Specialized pediatric form covering pregnancy/birth history, developmental milestones, vaccination history, family medical history, and age-appropriate health assessments

You’ll receive your personalized portal link via email or text message.
The forms can be completed on any device – computer, tablet, or smartphone.

How to Complete Your Forms

These forms are comprehensive because we want to understand your complete health picture. Plan for 20-30 minutes to complete them thoroughly.

Be specific about symptoms. Instead of “tired,” describe “exhausted by 2pm daily, need naps to function.” Include all medications, supplements, and treatments you’ve tried, even if they didn’t work. Family history matters too – include health conditions in your parents, siblings, and grandparents.

Gather recent lab results, imaging reports, and specialist notes to help us see what’s already been evaluated.

Before Your Appointment

Complete Your Forms Online
Please complete your intake forms through the patient portal before your first appointment. This ensures we can spend maximum time on your care.

Gather Recent Lab Results
Have copies of any lab work, imaging studies, or specialist reports from the past 2 years ready to bring or upload.

Prepare Your Questions
Write down specific questions about your health concerns, treatment options, or our approach.

Allow Adequate Time
Plan for your appointment to take the time needed for thorough evaluation and discussion.

Questions About Your Forms

Haven’t received your portal link? Contact our office and we’ll resend it immediately.

Need help completing the forms? Our office staff can assist you with any questions about the intake paperwork or accessing the portal.

Concerned about privacy? All health information is kept strictly confidential and used only for your medical care. Our patient portal uses secure, encrypted technology.

Have multiple complex health issues? Include everything in your forms. Complex cases are exactly what our root-cause approach is designed to address.

Contact our Pasadena or Redlands office with any questions about forms or scheduling.

Call Pasadena: (626) 794-4668

Call Redlands: (909) 793-4477