Welcome to GoodVitals

We help patients across the United States receive clinician-guided evaluation and care for chronic pain using evidence-based,
non-surgical approaches.

welcome

This form helps us:

Understand your pain history and symptoms

Determine whether our chronic pain program may be appropriate

Coordinate care with a licensed medical professional

Insurance-Covered
Video Consultation

insurance insurance
We accept most major health plans
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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.

Pain Screening & History

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

How long have you been experiencing pain?

Pain Screening & History

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

Where do you primarily experience pain?

Pain Screening & History

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

How would you describe your pain?

Pain Screening & History

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

Average pain severity over the past week:

Pain Screening & History

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

Does your pain limit your daily activities or sleep?

Pain Screening & History

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

Have you experienced symptoms such as numbness, tingling, or pain that travels down an arm or leg?

Pain Screening & History

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

Have you previously received treatment for this pain?

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