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1175 E Ogden Ave

Naperville, IL 60563 US

630-983-8455

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Online Forms

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

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

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New Patient
Health History Form


(Required)

Save precious time on your first visit.
Fill out our patient health history form at your convenience before arriving at our clinic and simply bring it with you (You may, of course, choose to fill out the form on site instead).

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! 

Download & Print  Health History Form

Download the Free AdobeReader®

Sign up using the form below to make an appointment.

CLINICS

Office Hours

CHICAGO

Monday:

9:00 am-7:00 pm

Tuesday:

2:00 pm-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

NORTH NAPERVILLE

Monday:

Closed

Tuesday:

2:00 pm-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-4:00 pm

Saturday:

9:00 am-2:00 pm

Sunday:

Closed

SOUTH NAPERVILLE

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 am-2:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

Closed

Friday:

9:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed

JOLIET

Monday:

9:00 am-2:00 pm

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-2:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

Closed

Saturday:

9:00 am-2:00 pm

Sunday:

Closed

Locations

Testimonials

  • "After a battery of tests suggested by my doctors, I was misdiagnosed & still in pain. Decided to go to the homeopathic way & called Dr. Kapoor of Vitality Health Center on a Saturday. They were actually closing @ 2pm but when I mentioned how much I was in he offered to stay in the office & wait for me! I arrived within 15 min of our call & he listened & understood what I needed. Finally, after 4 weeks of suffering, I found some relief! Dr. Renee was wonderful too!"
    Camelia S. / Naperville, IL

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