Online Forms

Vizuri Health Center offers our patient form(s) via web access so you can complete them in the convenience of your own home or office.


New Patient Forms - Required

Please click on the link below to access our new patient web intake forms*. You are required to provide an email address on this form for online submission. If you do not have an email account, please complete the email field using [email protected].

Completing this intake form prior to your first appointment provides us with the history and current state of your health. This allows us to focus fully on your experience as a new patient of Vizuri Health Center. What are your questions, concerns, and goals regarding wellness? We are here to help, so let us know!

New Patient Web Intake Form


*For best results, Internet Explorer is recommended. Please use a desktop computer or ipad (cell phones do not work).

Location

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Office Hours

Our Regular Schedule

Monday:

7:30 am-5:30 pm

Tuesday:

2:30 pm-5:30 pm

Wednesday:

7:30 am-5:30 pm

Thursday:

7:30 am-5:30 pm

Friday:

By Appointment

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Bill is amazing! He has so much knowledge and truly wants to help all his patients. I believe he is one of the main reasons why I was able to have an all natural child birth."
    Clara R.
  • "Dr.Bill teaches me something new every time I see him."
    Matt S.
  • "DR BILL HAS GIVEN ME MY HUSBAND BACK!!
    THANK YOU DR BILL!!"
    Martha S.