Vitality Health Medical offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, click here to download.
- Fill out and submit the form online or download the necessary form, print it out and fill in the required information.
- Fax us your printed and completed form or bring it with you to your appointment.
Patient Intake Form
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!