New Patients
Request an Appointment
Thank you for choosing Lifetime Vitality Clinic. Please complete this short form to request registration as a new patient. We're opening soon. A member of our team will reach out before we open to complete your registration and schedule your first appointment.
This form does not collect any medical informationFor medical emergencies, call 911
After you submit
What happens next.
01
Submit your request
Share your contact details and a few basics. No medical information is collected here.
02
We reach out
A member of our team will reach out before we open to confirm and schedule your first visit.
03
Your first visit
Bring your photo ID and insurance card. We'll take care of registration and the rest from there.
Where to find us
We’re right here.
125 Northshore Blvd, Portland, TX 78374