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Virtual Visit Forms

Please complete to following forms in advance of your virtual visit with VIC.
PDFs for download:
PATIENT FINANCIAL GUIDELINES
CONSENT TO TREAT
HIPAA - NOTICE OF PRIVACY PRACTICES 2023

At VIC, You Don’t Have to Wait 6-8 Weeks to See Us.
Our Providers Will See You In 3 to 5 Days – Without a Referral!

CALL FOR AN APPOINTMENT
SCHEDULE A CONSULTATION

At VIC, You Don’t Have to Wait 6-8 Weeks to See Us. Our Providers Will See You In 3 to 5 Days – Without a Referral!

CALL FOR AN APPOINTMENT
SCHEDULE A CONSULTATION
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