Huntsville Hospital MedMall Health History Form

This is The Health History Form necessary for participation in the programs at Huntsville Hospital MedMall, Jones Valley Center and Madison Health Center. It is a fillable PDF form that you can complete using the Adobe Reader. Please fill out and return ASAP to Huntsville Hospital at wellnessctr@hhsys.org.

NOTE: Some browsers may allow you to complete the form online in the browser, some will ask you to choose an App to complete the form with. If you complete it using the browser, you must download the file and email it to the address above. If the Bowser asks for an App to open the file, make sure you have Adobe Reader (free) and download and fill it out with the app. Then save it and attach it to an email and send it to the above address.

Thank you,

The Huntsville Staff