Getting Started at Life Clinic

Client Intake Forms

The following are intake forms that New Clients fill out before being tested at Life Clinic. Please print, fill out and bring with you to your first visit. Alternatively, you may arrive 15 minutes before your first appointment and these forms will be provided for you to fill out.

Informed Consent (consent to be tested)

Payment Information (contact information and payment agreement)

Daily Habits

Health Survey (symptoms)

Make an Appointment

To make an appointment, call Life Clinic at 801-342-9292
The clinic is open for appointments 9-5 Monday through Friday

Come Prepared

Wash off lotion from hands and/or feet
Bring your own supplements
Don’t wear black clothing
Come well hydrated

Life Clinic Location

63 N 300 E
Provo, UT 84606
Parking in back lot or on street

Prices

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