New Patient Paperwork

Primelife At Home offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Home Coaching Call Information Form

    Click to Complete

  • In Person Intake Form

    Click to Complete

Monday
9:00am - 5:00pm


Tuesday
9:00am - 5:00pm


Wednesday
Closed


Thursday
9:00am - 5:00pm


Friday
9:00am - 12:00pm


Saturday & Sunday
Closed

BY APPOINTMENT ONLY


Monday
9:00am - 4:00pm


Tuesday
9:00am - 5:00pm


Wednesday
9:00am - 5:00pm


Thursday
9:00am - 5:00pm


Friday
9:00am - 12:00pm


Saturday & Sunday
Closed

Primelife

3762 Shelburne Rd
Shelburne VT, 05482

(802) 388-6376