Get Started With VIP

vip medical doorAre you ready to experience primary care the way it should be? We are very excited that you are considering making VIP Medical Services your health home, we know you’re going to love it.

First, we would like to learn a little more about you and your needs. Please fill out the short patient application form below, and a VIP representative will contact you  to discuss our new patient process, any questions or concerns you may still have, and how to finalize your membership. Or if you prefer, you can swing by our office location and fill out the patient application there. We can’t wait to hear from you!

VIP Patient Application

  • VIP will contact the number on this form to discuss the patient process and finalize your membership.
  • Your email will only be used if the phone number listed is invalid or cannot be reached.
    Selecting one of these options does not lock you into that plan. It just helps us better understand your needs and anticipate questions you may have when we contact you.
  • If you have any specific questions you would like us to address when we contact you, feel free to ask them here!