Client Survey Forms – New Patient Information Documentation

Welcome to Vibrant Living Wellness Center Forms Administration Page. We are delighted to have you join our wellness practice as a new client!

To properly prepare for your first appointment it is important that you 1) fill out the client survey forms and then 2) bring the completed forms with you to your first appointment.

Please download, print and complete the four forms located at the top of this page.

– Client Introduction Form
– Client History Form
– Client Wellness Check
– Client Symptom Survey

We sincerely appreciate you taking the time to provide us with the background information we need to make your initial visit as productive as possible. If you have questions or need assistance completing the survey forms don’t hesitate to call our office (626)  470-7711 or email us at