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  • Treatments
    • Regenerative Medicine
      • Peptide Therapy
      • Regenerative Treatments
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logo
  • Treatments
    • Regenerative Medicine
      • Peptide Therapy
      • Regenerative Treatments
      • Chinese Medicine
    • Cologuard®
    • Spectrum Thermography
    • Aesthetic Medicine
    • IV Therapies
    • Comprehensive Blood Testing
    • Ultrasound Guidance Injections
    • Specials
  • Patients
    • Patient Forms
    • FSA & HSA Payment
    • Nutrition Shop
  • Vita Sana
    • About VSMC
    • Dr. Luca Lioce
    • Testimonials
    • In the news
    • Specials
  • Contact
    • Contact Us
    • Directions
    • Nutrition Shop
PATIENTS

Patient Forms

A little bit of time now will save you a lot later.

Please print and complete the appropriate forms before your appointment.
(480) 579-5290 phone
(480) 748-4365 fax
hello@vitasanacenter.com
4300 N. Miller Rd. Suite 144 Scottsdale, AZ 85251
New Patient Intake Form
Consent To Treat Form
Injection Consent Form
Food Diary Form
IV & UBI Consent Form
Micropen Consent Form
Physical Medicine Intake Form
Arbitration Agreement Form
Office Policy Form
Email Consent Form

Our Location

  • vita-sana-medical-center-logo-white

  • 4300 N. Miller Rd. Suite 144
    Scottsdale, AZ 85251

    Call (480) 579-5290
    hello@vitasanacenter.com

    Open Daily 9am – 5pm
    Saturday by appointment

Our website and its contents are not intended to treat, cure, diagnose, or prevent any disease. Dr. Lioce ND, PLLC. shall not be held liable for the medical claims made by patient testimonials or videos. They are not to be viewed as a guarantee for each individual. The efficacy for some products presented have not been confirmed by the Food and Drug Administration (FDA).

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