Medical Questionnaire
- Register
- Questionnaire
- Order IVs!
In order to receive our IV infusions, it is necessary that you fill out our medical intake survey, so that our Medical Director can review your medical history and determine whether it's safe for you to have intravenous vitamin solutions administered into your bloodstream. Once completed, please visit our IV Infusions page to order from our wide selection of IVs.
Please note that if you fail to complete this survey, we will be unable to administer our IV solutions to you.
Attention!
In order for us to administer an intravenous solution to you, we must require you to fill out our Medical Intake Survey, if you haven't already. The questionnaire will be submitted to our Medical Director for review, who will ultimately determine whether you are eligible to receive IV infusions based on the answers you provide. This only needs to be completed prior to your first IV, once filled out you won’t need to fill it out again. However if you fail to complete this survey, we will be unable to administer your IV infusion.