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.
General New Patient Visit Forms
- Intake Form -Adult OR Intake Form -Child
- Ienergy Health Advisor Questionnaire
- Health Consent Form
- Credit Card Authorization Form
- Hormone Welcome & FAQs Form (Hormone Clients Only)
We encourage new patients to bring all relevant laboratory reports to their first visit.