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!
*For best results, Internet Explorer is recommended.