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
Athlete Prevention Screen Intake Form
Athlete Prevention Screen Parent Consent Form
Member Login
Awards
Contact
Life Wellness Center
10551 165th St. W
Lakeville, MN 55044
Get Directions
10551 165th St. W
Lakeville, MN 55044
Get Directions
- Phone: 952-435-5300
- Fax: 952-898-1454
- Email Us
Contact Us / Clinic Hours
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
Community Content
Member Wellness
3D Spine Simulator
Launch 3D Spine Simulator



