Revive Wellness
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    • Home
    • IV Infusions
    • Injections
    • Memberships & Packages
    • Resources
      • FAQ
      • Supplement Guide
      • Meet our Team
      • Intake Form
      • Suggested Reading
      • Fullscript
    • Events & Private Parties
    • Contact Us
    • Blog
Revive Wellness
  • Home
  • IV Infusions
  • Injections
  • Memberships & Packages
  • Resources
    • FAQ
    • Supplement Guide
    • Meet our Team
    • Intake Form
    • Suggested Reading
    • Fullscript
  • Events & Private Parties
  • Contact Us
  • Blog

Intake Form

Please note that we are not a medical clinic and do not treat, diagnose, or cure any ailments. 

Revive Wellness Therapies requires all clients to complete a health history intake form that is reviewed and approved by our medical director prior to service.  Health history needs to be updated yearly or with any significant health changes. 

Health History Intake Form

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