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www.healthlogicllc.com

We 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.
  • Open or Download the necessary form(s), and fill in the required information.
  • Email the completed pdf form or Fax us  (650.853.1801) your printed and completed form(s) or simply bring it with you to your first  appointment.


New Patient Health History and Complaint Form - Required

This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Health Logic Intake Form for Dr. Johansen, Dr. Silvas and Dr. Toal



Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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Contact

Health Logic
633 Menlo Avenue, Ste. 100
Menlo Park, CA 94025
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  • Phone: 650-853-1800
  • Fax: 650-853-1801
  • Email Us

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