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Patient Forms

Spokane Vitality Center – Forms

New Patients:

Please print, complete and bring the following three (3) forms with you to your initial appointment with Dr. Getz. If you also need to request medical records or lab results from your current provider, please complete the Medical Release form in the Existing Patients section below. (Your current provider would be listed in Section 2, SVC would be listed in Secton 3).

For your information only, please read the following. No need to bring this to your appointment.

Existing Patients:

If you need a copy of your SVC medical records for yourself or sent to another medical office, please complete the following form and return to us. Fax: (509) 290-6305 or email Office@SpokaneVitality.com (SVC would be listed in Section 2).