LivingWell programs are nationally recognized, evidence-based, medically mainstream programs and services that encourage, empower, support and provides hope to thousands of newly diagnosed patients and their families. All 100-plus programs and services are provided free of charge because we believe that no one should face cancer alone.
Please complete and return forms to the front desk at your first visit, submit online, e-mail to firstname.lastname@example.org or fax forms to 630.262.1110.
- A completed New Participant Form is required to participate in any LivingWell programs or services.
Submit New Participant Form online or Download Printable New Participant Form.
- A completed Medical Release Form signed by your doctor is required to participate in any yoga or fitness classes and to receive massage, reflexology, and facials. Download Printable Medical Release Form.
- A completed Release of Liability Form (scroll to pages 4-5) is required to participate in any onsite classes during fall/winter 2020-21. Download Release of Liability Form.
- A completed Hair Goals Form is required prior to making an appointment for a Virtual Wig Consultation with a LivingWell wig specialist. Submit Hair Goals Form. Also required is reviewing this checklist.