Davis Whole Family Health
Patient Forms
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If you would like for us to obtain records from another provider, please complete this form and upload it to your patient portal or print, complete and bring it in prior to your visit.
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Please complete this form prior to your sports physical
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Ages: 0-18
Membership: $0/year
Start your child on the path to lifelong wellness from day one! Our youngest members receive top-tier pediatric care, comprehensive wellness checks, and access to state-of-the-art preventive services. Don't just keep them healthy—set them up for a future of well-being.
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Ages: 19-25
Membership: $0/year
Embark on your adult life with unmatched healthcare support. We offer specialized care tailored to your unique needs as you navigate college, early career, and beyond. Focus on preventive measures, wellness programs, and receive valuable guidance through the rollercoaster of young adulthood.
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Ages: 26-45
Membership: $421/year
Invest in your prime years for just $19 per month! This tier offers a holistic healthcare experience that goes beyond standard check-ups. Benefit from cutting-edge diagnostic tools for early disease detection, mental health support, and actionable wellness plans to keep you at the top of your game.
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Ages: 46-64
Membership: $637/year
Navigate life's rich chapters with confidence and vitality. This membership level offers you a thorough healthcare package, particularly tailored for managing ongoing health conditions and proactively identifying potential concerns. Experience healthcare that adapts with you, empowering an active and fulfilled life.
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Ages: 65+
Membership: $961/year
Celebrate your golden years with healthcare that understands you. Receive unparalleled geriatric care, manage existing conditions efficiently, and enjoy a suite of services aimed at maintaining an active, fulfilling lifestyle. We're here to ensure that your best years are still ahead.
