If you are seeking care for your condition through your healthcare provider please consult them before continuing this process. You will be given the oportunity to fill out and sign this form in person of the day of your first treatment. If you are seeking VitalFix Clinic's care please continue below. 
 
VitalFix Clinic offers pre-screening medical exams to determine eligibility for treatment and ensure proper care. Our thorough assessment process evaluates your medical condition to provide necessary care. Simply click "Complete Online" to download our digital intake form. Once completed, email your renamed intake form to prescreen@vitalfixclinic.com. Then sign up for the treatment you need to start your journey to wellness. Experience exceptional ESWT treatments for various disorders and conditions at VitalFix Clinic.

Step one: Purchase and download this digital health prescrening form.
Step 2: Fill out and sign the digital health prescreening form.
Step 3:  Email it to us at prescreen@vitalfixclinic.com 
Step 4: Apply for site membership in order to purchase your treatment package.

If your specific treatment case requires more than the normal 6 treatments it will be discussed with you in person. You may purchase treatments individually. Start you journey to wellness today with VitalFix Clinic. 

Payment plans are available, inquire for more details.