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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®

Request An Appointment Today

We look forward to hearing from you.

Location

Office Hours

Monday:

10:00 am-6:00 pm

Tuesday:

11:00 am-7:00 pm

Wednesday:

By Appt. Only

Thursday:

11:00 am-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed