New Patient Intake PaperworkVitality Functional Medicine's mission is to provide wellness solutions that are both thorough and custom. Having a full picture of your health history and current health is essential for us to best assess your path to wellness. This information will help our professionals craft a plan that is in alignment with your unique needs.
Please allow yourself 30-45 minutes to complete these forms. We appreciate your time and willingness to help us better understand and meet your needs. -The Vitality Functional Medicine team
Parents, please print and complete the document below for small children, age 4 and under
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Connect with Us!
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Our Location3061 Brickhouse Court, Ste 107 Virginia Beach
757.491.2598 * support@vitality757.com |
Reception HoursMonday - Thursday: 9:00 to 5:00
Open one Saturday Morning each Month Closed Fridays Appointments may be available outside these times. |
We are proud to provide quality health care to our neighbors in Virginia Beach, Chesapeake, Norfolk, Suffolk, Portsmouth,
and the surrounding Hampton Roads area. Dr. Janine Lex's specialty in intertwining her skills with functional medicine, nutrition, chiropractic care and acupuncture to best suit each individual patient allows for maximum pain relief and optimal healing. ©2017 Vitality! Functional Medicine
and the surrounding Hampton Roads area. Dr. Janine Lex's specialty in intertwining her skills with functional medicine, nutrition, chiropractic care and acupuncture to best suit each individual patient allows for maximum pain relief and optimal healing. ©2017 Vitality! Functional Medicine