Collaborative Health Outreach of Virginia
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  • Services
    • Weight Loss
    • Primary Care
    • Intravenous Nutrition
    • Hormone Replacement
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    • Emsella in Norfolk
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  • Patient Portal

Patients

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New Patients

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Current Patients

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By Appointment Only

  • Emergency
  • Telehealth
  • House Calls

Patient Forms

CHOVA Wellness New Patient Registration
  • New Patient Package
    • HIPAA Notice of Privacy Practices
    • Consent for Release of Medical Information
    • Consent To Contact
    • Patient Information Sheet
  • Weight loss
    • Eating Behavior Inventory
  • IV Nutrition
    • IV Therapy Intake Form (New patient’s only)
    • IV Medical Symptom Check list
    • IV Waiver (New and Established Patients)

Pellet Therapy

  • Pellet Therapy FAQs
  • Low Testosterone Questionnaire
  • Pellet Insertion Consent Form (man)
  • Pellet Insertion Consent Form (woman)
  • Mammogram Waiver
  • Men’s Health Questionnaire
  • Women’s Health Questionnaire
  • Post-Insertion Instructions (men)
  • What To Expect (men)
  • Post-Insertion Instructions (women)
  • What To Expect (women)
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