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Online Forms

Vitality Health & Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding acupuncture can we help you with? Let us know!

Download & Print Form


Weight Loss Questionnaire (Health Care Analysis)

Download & Print Form


Acupuncture Questionnaire

Download & Print Form



Download the Free AdobeReader®

Contact Us Today

If you're ready to start your journey to health and weight loss, schedule an appointment today or fill out the form below to learn more

Location

Office Hours

Monday:

10:00 am-6:00 pm

Tuesday:

12:00 pm-7:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

12:00 pm-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed