New Patient Health History Form - Required

Transformational Healthcare offers our patient forms online so they can be completed in the convenience of your own home or office, before you arrive at our 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.
  • Email or fax us your completed form(s) or bring them with you to your appointment.

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!

Download & Print Form

On your first visit we can best help you if you bring or send the following to us:

1. New Patient Health History Form.
2.  Any nutritional supplements you may be currently taking.
3.  Current Lab or Imaging Tests pertinent to your condition.


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print the form out and bring it in to our office during your next visit with us, or Click Here to register online! The online newsletter sign-up is also on the right. We also post useful information on Facebook if you would like to connect with us there.  We look forward to making your experience with our office and website more interactive and rewarding!  

Download & Print Form



Download the Free AdobeReader®



Dr. Denice Hilty | Transformational Healthcare | 212-620-4114

7 W 22nd Street, 8th Floor
New York, NY 10010


Call to schedule an appointment or a 15 minute phone consultation


Transformational Healthcare
7 W 22nd Street
8th Floor
New York, NY 10010

212.620.4114

info@transformationalhealthcare.net

Mon 11am to 7pm
Tue 8am to 3pm
Wed 11am to 7pm
Thu Closed
Fri 8am to 3pm

Call Us:
212-620-4114
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Transformational Healthcare
7 W 22nd Street, 8th Floor
New York, NY 10010
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