Get Started

Welcome to Revivelife™ clinic.  For your appointment you will be requested to fill in intake forms.    You can fill them out online, or call the clinic at (613) 829-7100 to have the forms faxed or emailed to you.

We encourage new patients to bring all relevant laboratory reports to their first visit.

• Get Started

  • Your First Visit
  • New Patient Intake Form – Adult
  • New Patient Intake Form – Child
  • Hormone Intake Form
  • Ienergy Questionnaire (IEQ)
  • Insurance Info
  • Consent Forms