{"id":6683,"date":"2014-07-27T01:35:03","date_gmt":"2014-07-27T01:35:03","guid":{"rendered":"http:\/\/test.vitalhealth.com\/?page_id=6683"},"modified":"2022-10-12T15:52:52","modified_gmt":"2022-10-12T22:52:52","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/www.vitalhealth.com\/endometriosis-specialty-center\/plan-your-treatment\/patient-forms\/","title":{"rendered":"Patient Forms &#038; Documents"},"content":{"rendered":"<p>[vc_row][vc_column]<style>.ld_spacer_69d45614948b6{height:32px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d45614948b6\"><span class=\"liquid_empty_space_inner\"><\/span><\/div>[vc_column_text css_animation=&#8221;fadeIn&#8221;]Browse the tabs below to download the relevant forms and information ahead of your appointment.[\/vc_column_text]<style>.ld_spacer_69d4561494943{height:32px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561494943\"><span class=\"liquid_empty_space_inner\"><\/span><\/div>[vc_tta_accordion style=&#8221;modern&#8221; color=&#8221;violet&#8221; c_icon=&#8221;chevron&#8221; active_section=&#8221;1&#8243; css_animation=&#8221;fadeIn&#8221;][vc_tta_section title=&#8221;New Patients&#8221; tab_id=&#8221;1556126326787-84a8f5b1-f134&#8243;][vc_column_text]Before we can schedule to review your case or arrange an initial in-office consult, we will need you to print out and complete the five forms below and send them to us via mail, fax or email.<\/p>\n<p>In addition to these five forms, please arrange to send us ONLY:<\/p>\n<ul>\n<li>Previous Abdominal Operative and Pathology Reports<\/li>\n<li>Color Surgical Photos if you have them<\/li>\n<li>Lab work completed in the last 18 months<\/li>\n<\/ul>\n<p>[\/vc_column_text]<style>.ld_button_69d4561494a4e.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561494a4e.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561494a4e.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561494a4e{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561494a4e:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561494a4e .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561494a4e .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494a4e .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494a4e:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494a4e:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494a4e.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561494a4e.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"\/wp-content\/uploads\/2020\/12\/Registration-Form-2020-1.pdf\" target=\"_blank\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561494a4e\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Patient Registration Form<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561494bcb{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561494bcb\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561494ca1.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561494ca1.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561494ca1.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561494ca1{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561494ca1:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561494ca1 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561494ca1 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494ca1 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494ca1:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494ca1:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494ca1.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561494ca1.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/www.vitalhealth.com\/wp-content\/uploads\/2021\/05\/V-13.3-Patient-Quest-051721-New-Version-.pdf\" target=\"_blank\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561494ca1\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">New Patient Questionnaire<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561494d8b{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561494d8b\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561494e62.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561494e62.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561494e62.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561494e62{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561494e62:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561494e62 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561494e62 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494e62 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494e62:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494e62:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494e62.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561494e62.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"\/wp-content\/uploads\/2020\/10\/V0018A-VHI-Medical-Release-Form.pdf\" target=\"_blank\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561494e62\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Medical Release Form<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561494f15{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561494f15\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561494fcd.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561494fcd.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561494fcd.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561494fcd{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561494fcd:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561494fcd .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561494fcd .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494fcd .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561494fcd:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494fcd:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561494fcd.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561494fcd.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/www.vitalhealth.com\/wp-content\/uploads\/2019\/09\/Med_Supp-Summary_07_2019.pdf\" target=\"_blank\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561494fcd\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Medical Supplement Summary<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d456149507e{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d456149507e\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d456149512c.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d456149512c.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d456149512c.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d456149512c{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d456149512c:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d456149512c .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d456149512c .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d456149512c .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d456149512c:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d456149512c:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d456149512c.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d456149512c.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"\/wp-content\/uploads\/2020\/10\/V0026-Patient-and-Office-Policy-2020.pdf\" target=\"_blank\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d456149512c\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Office Policy Form<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d45614951ce{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d45614951ce\"><span class=\"liquid_empty_space_inner\"><\/span><\/div>[vc_column_text]<em>* Please mail printed forms to 1199 Main Avenue #217, Durango, CO 81301-4158, Attn: Michelle. Alternatively, you may scan and email documents to\u00a0<a href=\"mailto:melissa@vitalhealth.com\">melissa@vitalhealth.com<\/a><\/em><\/p>\n<p>The following documents provide essential information about how to reach our center for your first in-office appointment and your patient privacy:[\/vc_column_text]<style>.ld_button_69d456149528a.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d456149528a.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d456149528a.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d456149528a{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d456149528a:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d456149528a .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d456149528a .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d456149528a .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d456149528a:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d456149528a:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d456149528a.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d456149528a.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2015\/03\/form-np-hipaa-privacy-policy.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d456149528a\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">HIPAA Privacy Information<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561495325{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561495325\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d45614953ce.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d45614953ce.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d45614953ce.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d45614953ce{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d45614953ce:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d45614953ce .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d45614953ce .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614953ce .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614953ce:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614953ce:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614953ce.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d45614953ce.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2017\/10\/request-for-special-privacy-protections-2017.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d45614953ce\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Request for Special HIPAA Privacy<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561495465{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561495465\"><span class=\"liquid_empty_space_inner\"><\/span><\/div>[vc_column_text]Additional forms as appropriate:[\/vc_column_text]<style>.ld_button_69d45614954f7.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d45614954f7.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d45614954f7.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d45614954f7{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d45614954f7:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d45614954f7 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d45614954f7 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614954f7 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614954f7:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614954f7:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614954f7.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d45614954f7.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2017\/10\/appointment-confirmation-office-visit-2017.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d45614954f7\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Confirmation of Appointment<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d456149558b{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d456149558b\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561495647.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561495647.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561495647.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561495647{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561495647:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561495647 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561495647 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495647 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495647:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495647:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495647.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561495647.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2017\/10\/phone-appt-confirmation-2017.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561495647\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Phone\/Internet Consult Information<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d45614956d2{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d45614956d2\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561495777.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561495777.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561495777.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561495777{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561495777:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561495777 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561495777 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495777 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495777:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495777:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495777.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561495777.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2017\/10\/request-for-letter-2017.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561495777\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Request for Form or Letter<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561495807{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561495807\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d45614958ae.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d45614958ae.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d45614958ae.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d45614958ae{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d45614958ae:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d45614958ae .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d45614958ae .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614958ae .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d45614958ae:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614958ae:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d45614958ae.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d45614958ae.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2015\/03\/form-np-vhi-medical-release-to-another-doctor.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d45614958ae\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">VHI Medical Release to Another Doctor<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561495947{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561495947\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561495a02.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561495a02.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561495a02.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561495a02{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561495a02:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561495a02 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561495a02 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495a02 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495a02:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495a02:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495a02.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561495a02.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2015\/03\/form-np-menopause-questionnaire.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561495a02\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Menopause Questionnaire<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n[\/vc_tta_section][vc_tta_section title=&#8221;Surgery Patients&#8221; tab_id=&#8221;1556126985402-c91b5ed7-ba61&#8243;][vc_column_text]The following documents provide essential information in relation to your upcoming surgery. As soon as you schedule your surgery, please print out and read this information, referring back to it as your surgery date draws closer:[\/vc_column_text]<style>.ld_button_69d4561495b05.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561495b05.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561495b05.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561495b05{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561495b05:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561495b05 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561495b05 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495b05 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495b05:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495b05:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495b05.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561495b05.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2015\/03\/form-sp-herbs-supplements-to-avoid.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561495b05\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Herbs and supplements to avoid prior to surgery<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n<style>.ld_spacer_69d4561495b93{height:12px;}<\/style>\n<div class=\"ld-empty-space ld_spacer_69d4561495b93\"><span class=\"liquid_empty_space_inner\"><\/span><\/div><style>.ld_button_69d4561495c39.btn-icon-solid .btn-icon{background:rgb(136, 155, 95);}.ld_button_69d4561495c39.btn-icon-circle.btn-icon-ripple .btn-icon:before{border-color:rgb(136, 155, 95);}.ld_button_69d4561495c39.btn-icon-solid:hover .btn-icon{background:rgb(255, 255, 255);}.ld_button_69d4561495c39{background-color:rgb(136, 155, 95);border-color:rgb(136, 155, 95);color:rgb(255, 255, 255);}.ld_button_69d4561495c39:hover{background-color:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(136, 155, 95);}.ld_button_69d4561495c39 .btn-gradient-bg-hover{background:-webkit-linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);background:linear-gradient(to right, rgb(255, 255, 255) 0%, rgb(255, 255, 255) 100%);}.ld_button_69d4561495c39 .btn-gradient-border defs stop:first-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495c39 .btn-gradient-border defs stop:last-child{stop-color:rgb(136, 155, 95);}.ld_button_69d4561495c39:hover .btn-gradient-border defs stop:first-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495c39:hover .btn-gradient-border defs stop:last-child{stop-color:rgb(255, 255, 255);}.ld_button_69d4561495c39.btn-bordered{border-color:rgb(136, 155, 95);}.ld_button_69d4561495c39.btn-bordered:hover{border-color:rgb(136, 155, 95);}<\/style><a href=\"https:\/\/vital-health-vitalhealthinsti.netdna-ssl.com\/wp-content\/uploads\/2015\/03\/form-sp-things-you-should-know-anesthesiology.pdf\" class=\"btn btn-solid btn-xsm semi-round btn-bordered border-thin ld_button_69d4561495c39\">\n\t<span>\n\t\t\n\t\t\t\t\t<span class=\"btn-txt\">Things you should know about anesthesiology<\/span>\n\t\t\t\n\t\t\t\t<\/span>\n<\/a>\n[\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css_animation=&#8221;fadeIn&#8221;]Browse the tabs below to download the relevant forms and information ahead of your&#8230;<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":6681,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6683","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/pages\/6683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/comments?post=6683"}],"version-history":[{"count":0,"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/pages\/6683\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/pages\/6681"}],"wp:attachment":[{"href":"https:\/\/www.vitalhealth.com\/wp-json\/wp\/v2\/media?parent=6683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}