New Patient Paperwork

Pure Health & Vitality offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Monday
Closed


Tuesday
9:15am - 1:00pm
2:00pm - 6:00pm


Wednesday
Closed


Thursday
9:15am - 1:00pm
2:00pm - 6:00pm


Friday
9:15am - 1:00pm
2:00pm - 6:00pm


Saturday
9:00am - 12:00pm

Pure Health & Vitality
27820 Irma Lee Circle #1
Lake Forest, IL 60045
(847) 230-0630