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Medical Intake Form

Welcome to Valhalla Vitality Community! Before proceeding to our Wellness Therapy Store, please fill out our Medical Intake Form.

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How to get full access to our Wellness Shop

Create an Account

Click Get Started and complete a small registration form.

1

Choose your therapy and book a consultation

Consultation is required to process your medical intake form, choose the best therapy and provide you access to prescription products.

2

Fill out Medical Intake Form

Let us get to know you better, fill out our Medical Intake Form

3

Get Approved!

We will be in touch with you regarding your provider Consultation and account approval!

4

Get access to all exclusive therapies

Visit our Wellness Store to browse a wide selection of therapies.

5

Explore your Client Portal

Manage your medical files from your personalized client portal

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