Patient Convenience Center

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

We accept most types of health insurance. Please contact us for further details.

Access your health records anytime

Connect with your Patient Fusion doctor to see key health information recorded during your visits, including:
  • Upcoming appointments
  • Recent lab orders
  • Medications, diagnoses and more

Access  Patient  Forms

We are pleased to have you as our patient at Resilience Health Systems and are committed to helping you in any way possible. Here you can find some policies and forms that may be of assistance to you before your initial appointment with us, and after your ongoing treatment plan has been designed by your physician. 

All forms may be faxed to Resilience Health Systems main processing center at (440) 525-5564 or

Call to make an appointment to submit in person at our main campus in Euclid, Ohio from 11:30am -8:30pm daily.

Please understand your physician can request the information on your behalf and receive the information electronically.

Electronic Secured Web Patient Form Portal!

Print Print | Sitemap Recommend this page Recommend this page
Resilience Health Systems Corporation is a physician owned medical network only. All site locations are physician owned and follow strict Federal, State and local laws.