Patient & Records Management Forms
We are pleased to provide you with our latest forms online. Please click on the links below to download your desired forms.
New Patient Forms
- LifeCare Patient Registration
- LifeCare Medical History
- LifeCare of Coordination Of Benefits
- Financial Policies
Records Management Forms
- Records Request Form
(send records to Dr. Mikel) - Records Release Form
(send records from our office to another Dr.)
Depo-Provera Patients
Bodywise Medicine is dedicated to providing Wellness Solutions to your life. We offer nutrition, Neurointegration, and Liposuction along with a selection of other procedures and wellness solutions. If you go to our Bodywise Medicine site you can learn more about:
- Botox
- Chemical Peels
- Customized Weight Loss
- Hormone Balancing
- Juvederm
- Liposuction
- Metabolic Testing
- Neurointegration
- Supplements
- The Smarter Weigh
Dr. Mikel Listens to His Patients
Being a board certified physician for nearly 20 years, Dr. Mikel understands that each patient brings a unique set of challenges to the office. He listens carefully to the patients as they discuss their medical history, mental well being, and personal lifestyle. These entire things factor into the choices and recommendations Dr. Mikel prepares for your. Let Dr. Mikel help beginning your journey to a healthier YOU today.
