Please complete these forms and bring them with you to your first appointment at OsteoMed II

The following patient forms can be downloaded in pdf format.  If you do not already have Acrobat Reader, you can download it for free at Adobe.com

OSTEOMED NEW PATIENT FORMS
Patient form: Adults and children 12 years and older (pdf)

Patient form: Child under 12 years of age (pdf)

Patient form: Child with ASD, ADHD, ADD and/or Autism (Word Document)


BREAST HEALTH
Women's Breast Health History Form: Please fill this out before your thermogram

INSTRUCTIONS FOR THERMOGRAM

Use of Iodine for Breast Pain,   by Dr. Jack Kessler (pdf)
7271 Engle Road, Suite 115
Middleburg Heights, OH 44130
440-239-3438
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Disclaimer: The entire contents of this website are based upon the opinions of Dr. Sherri Tenpenny unless otherwise noted. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Sherri Tenpenny, Dr. Clay Walsh and Dr. Cheryl Leuthaeuser. The physicians at OsteoMed II encourage you to make decisions about your health and the health care of your family based upon your own personal research and in partnership with a qualified health care professional.

Patient Forms

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CLINIC HOURS:
Mon-Tues: 9a-6p;   W-Th-F: 9a-5p
One Saturday/month