Membership Subscription Accepted

 

Please fill out the Patient Intake Form

Thank you for subscribing to The VIOS Clinic Membership

Please complete the Patient History Intake Form below. The information you share is secure, encrypted & only shared with your preferred Doctor.

 

The information will help your Doctor prepare for your upcoming online appointment and provide a personalized care experience.

 

After you complete the form, a scheduling link to book an appointment with your selected Doctor will be sent to your email.

 

Having some issues?

Set up a Zoom call with our Medical Director