First Visit Forms


IV therapy patients are required to fill out a short form listing current symptoms, medical history, and medications. This will help our practitioner safely identify the best IV treatment for your needs.

IV Therapy Patient Registration and Informed Consent Form


When you arrive for your first visit we will have you fill out a brief form that covers your medical health history and medications. One of our weight loss specialists will then review your history with you and decide which program will work best. We will obtain your height, weight and waist measurement to provide us a baseline for our goals. Our weight loss specialist will then review our program and specialize it according to your individual needs. We provide all medication necessary for the program on-site. New patient visits are between 30-45 minutes dependent on your goals and questions.

What can I expect during repeat visits at IRevive?

Return patient visits will be between 15-20 min at this time. We will review your personal progress and address any questions or obstacles.

Weight Loss Patient Registration Form


In order for our skin health provider to understand your aesthetics and skin care history we ask that you fill out the below form. This form will cover a few items helpful for our practitioner to review with you during your initial aesthetics consultation. From there we will make recommendations regarding which aesthetics services would best suit your needs or goals including but not limited to: Botox, Fillers, Micro-Needling, Skin Peels, Kybella, or other skin care options.

New Aesthetics Patient Registration Form

Nashville TN Weight Loss | Nashville IV Therapy