Patient Forms

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.

You still have more options.

Contact Us
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (424) 512-8672.
Contact Us