Valdosta Health & Wellness

(229) 469-6137

  • Home
  • About Us
  • Men's TRT
  • Women's BHRT
  • Weight Loss
  • Thermography
  • Med Spa
  • Supplements
  • Patient Portal
  • Forms
  • Contact
  • More
    • Home
    • About Us
    • Men's TRT
    • Women's BHRT
    • Weight Loss
    • Thermography
    • Med Spa
    • Supplements
    • Patient Portal
    • Forms
    • Contact
Valdosta Health & Wellness

(229) 469-6137

  • Home
  • About Us
  • Men's TRT
  • Women's BHRT
  • Weight Loss
  • Thermography
  • Med Spa
  • Supplements
  • Patient Portal
  • Forms
  • Contact

Patient Forms

 Interested in Becoming a New Patient?


Please complete the appropriate Women's or Men's New Patient paperwork linked below, and email the completed forms to shenry@valdostahealth.com.

Be sure to include a copy of your driver’s license and insurance card with your submission.


We look forward to helping you feel your best!

Women's New Patient Paperwork (pdf)

Download

Men's New Patient Paperwork (pdf)

Download

Records Request Form (pdf)

Download

Records Release Form (pdf)

Download

Copyright © 2025 Valdosta Health & Wellness - All Rights Reserved.

  • Home
  • About Us
  • Men's TRT
  • Women's BHRT
  • Weight Loss
  • Thermography
  • Supplements
  • Forms
  • Contact