Patient Forms

Patient Forms

To ensure your consultation at Health & Vitality Center is thorough and efficient, please complete the required patient forms prior to your appointment. These forms allow Dr. Shiva Lalezar to review your health history in detail and prepare a personalized evaluation. You may access and submit the forms using the links below before your scheduled visit.

We are delighted you have decided to schedule an appointment with Dr. Lalezar at the Health and Vitality Center. Please make sure to fill out the forms before your visit. Please arrive 15 minutes before your appointment.

1. New Patient Form: Click Here

2. Follow-Up: Click Here

3. New IV Consult: Click Here