Patient Forms – Vitality Medicine of New York

Provided on our website are various forms that require completion prior to your visit. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you. 

In order to view or print these forms you will need Adobe Acrobat Reader installed Click here to download it.

Meet Our Medical Director

Dr. Alexis Gopal is a Board Certified Internal Medicine physician who has been practicing in New York for the past 23 years.

Dr. Alexis Gopal obtained her M.D. at Mount Sinai Icahn School of Medicine, followed by residency training at the Albert Einstein School of Medicine.

Informed Consent / Contract: Hair Restoration


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