Vitality757
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  • Services
    • Functional Medicine
    • Acupuncture
    • Chiropractic
    • Laser Therapy
    • Migun Bed
  • About
    • Our Philosophy
    • Healthcare Team
    • Blog
    • Testimonials
  • Education
    • Events
    • Videos
    • Articles
    • Suggested Reading
    • Blog
  • Brain Health
  • Contact Us
    • Request an Appointment
    • New Patient Information
    • Forms
    • Payment Options
  • Shop Online
    • Buy Standard Process
    • Buy Xymogen Products
    • Buy Other Products
  • Weight Loss
  • New Page
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New Patient Intake Paperwork

Vitality 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
2019_intake.pdf
File Size: 1061 kb
File Type: pdf
Download File

Parents, please print and complete the document below for small children, age 4 and under
2019_intake_minor.pdf
File Size: 620 kb
File Type: pdf
Download File

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Request an appointment

Our Location

3061 Brickhouse Court, Ste 107 Virginia Beach
757.491.2598  *  support@vitality757.com

Reception Hours

Monday - 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
  • Services
    • Functional Medicine
    • Acupuncture
    • Chiropractic
    • Laser Therapy
    • Migun Bed
  • About
    • Our Philosophy
    • Healthcare Team
    • Blog
    • Testimonials
  • Education
    • Events
    • Videos
    • Articles
    • Suggested Reading
    • Blog
  • Brain Health
  • Contact Us
    • Request an Appointment
    • New Patient Information
    • Forms
    • Payment Options
  • Shop Online
    • Buy Standard Process
    • Buy Xymogen Products
    • Buy Other Products
  • Weight Loss
  • New Page
  • Services