Medical Forms

To view and print one of the CustomCare MD
medical forms, please click the links below.

You can easily print the forms, fill them out,
and bring them in with you to speed up the 
initial process. Or fax them to us before your
visit. Fax 216-297-3233

Patient Registration Form
Transfer of Medical Records - Dr. Locke
Transfer of Medical Records - Dr. Tomm
Pre-Travel Health Form
Ohio's Living Will
Ohio's Health Care Power of Attorney

 

 

 

 

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