3505 E Royalton Road, Broadview Heights, OH 44147

Client Forms For Laser Therapy Treatment

As a new client of AcuLaser Treatment Center you can download form(s) online, complete them at your own time and convenience, and bring them in to your appointment.

If you do not already have AdobeReader® installed on your computer, Click Here to download. Download the necessary form(s), print, fill in the required information, and bring the form(s) to your appointment.


Smoking Cessation Intake Form (.PDF)

Weight Control Intake (.PDF)

Lipo Laser Intake  (.PDF)

Stress Relief Intake (.PDF)


If you have any questions about the form(s), please call us at 440-740-1020.

Client Testimonials

Can't really believe it but it has been about 6 weeks and all going well, especially since my activities have been around several which smokers outnumbered non-smokers considerably. I have made it through with no real desire to smoke and hope it continues. If I feel the slightest urge I'll be paying you a visit. Thanks for your support.
Bob S. Strongsville, OH