(616) 644-9155 · Serving Greater Grand Rapids
Vitality At Home

Patient Paperwork

No printing, no clipboard, no waiting room. Because we come to you, your intake paperwork is simple. We bring the forms to your first visit, or email them ahead if you would rather fill them out early. Here is what we will cover so nothing catches you off guard.

01Your Intake Paperwork

Four simple forms, handled at your first visit.

New Patient Intake

Your contact details, pain history, and goals for treatment.

Medical History

Past injuries, surgeries, medications, and conditions we should know.

Insurance Information

Your coverage details so we can help you understand your benefits before we begin.

Privacy Notice

How we protect your health information, reviewed and signed once.

Good to Know

Prefer to fill everything out ahead of time? Just ask us to email your forms when you book, and we will have them ready at your visit.

Request an Appointment

Ready when you are.

HoursMon-Fri: 8:00am-4:30pm | Sat-Sun: Closed
Book your evaluation. Same-week appointments available.
Step 1 of 5
First things first. What's your name?
Best number to reach you?
And your email?
What questions do you have about your pain or injury?
Look right? Send it.
✓
Request received.

We'll call within business hours to lock in your time.

Talk to a Specialist