Home

www.lifewellnesscenter.net

Login My Account

Life Wellness Center offers our patient form(s) online so you can complete it 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 Forms


Personal Injury Verification Forms


Workers Compensation Questionaire Forms

Workers Compensation Verification Forms


Updated Patient History Forms

Motor Vehicle Collision Forms 


Athlete Prevention Screen Intake Form

Athlete Prevention Screen Parent Consent Form


Download the Free AdobeReader®

Top

Connect With Us

facebook_logo2.jpgblogger_logo2.jpgblogger_logo2.jpgtwitter_logo2.jpgyoutube_logo2.jpg

430x215_peches_bleu_en.jpg

Puravida_1.jpg

Footlevelers.jpg

Fill_Their_Plate_banner.jpg

Scan our QR code for our New Patient Offer!

Bar_code.jpg 

Newsletter Sign Up











Member Login

Send Password | Sign Up

Awards

The_Best_of_Lakeville_award.jpg

Contact

Life Wellness Center
10551 165th St. W
Lakeville, MN 55044
Get Directions
  • Phone: 952-435-5300
  • Fax: 952-898-1454
  • Email Us

Contact Us / Clinic Hours

Request_Appointment.png 
  
HOURS:
Mon.     7:00am - noon
             2:00pm - 6:00pm
Tues.    2:00pm - 6:00pm
Wed.     7:00am - noon
             2:00pm - 6:00pm
Thurs.   2:00pm - 6:00pm
Fri.        7:00am - noon
             2:00pm - 5:00pm
Sat.       8:00am - noon
Sun.      CLOSED

3D Spine Simulator


Launch 3D Spine Simulator