Welcome to GoodVitals

We help patients across the United States receive clinician-guided evaluation and management for high blood pressure using evidence-based, patient-centered care.

welcome

This form helps us:

Understand your blood pressure history and current control

Determine whether our hypertension program may be appropriate

Coordinate care with a licensed
medical professional

Insurance-Covered
Video Consultation

insurance insurance
We accept most major health plans
coverage
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Before any treatment recommendations can be made, you must complete a video consultation with one of our licensed
medical professionals.

This is required for medical safety and insurance compliance.

All treatment decisions follow clinical evaluation and established medical guidelines.

Required acknowledgment

Demographics

We use this information to verify your insurance coverage and contact you with next steps. Your information is kept secure and confidential.

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

Have you been diagnosed with high blood pressure (hypertension) by a healthcare professional?

How long have you had high blood pressure?

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

What is your usual blood pressure range?

Systolic (top number)

Diastolic (bottom number)

Approximate values are okay.

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

What is the highest blood pressure reading you recall being told or measuring?

Systolic (top number)

Diastolic (bottom number)

Approximate values are okay.

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

How often do you typically check your blood pressure?

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

Are you currently taking medication for blood pressure?

If yes, how often do you take it as prescribed?

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

Do you feel your blood pressure is currently well-controlled?

Blood Pressure
Screening & History

The following questions help your clinician understand your blood pressure history and determine whether further evaluation may be appropriate.

Do you have any of the following conditions? Select all that apply.

Blood Pressure
Screening & History

The following questions help your clinician understand the nature of your pain and determine whether further evaluation
may be appropriate.

Do you smoke or use tobacco products?

This program is intended for non-emergency evaluation and management of blood pressure.
This screening does not establish a diagnosis.

Verify Insurance &
Schedule Consultation

Please provide the information below so we can review eligibility and schedule your required video consultation.

Select payment method*

*Information is used only for medical review, insurance verification, and care coordination.
OR
Proceed By Phone