New Primary Care Patient Inquiry Form

This is the form for Primary Care.  If you are interested in a specialty program, click here.

Thank you for considering NRVM for your healthcare needs. To initiate the process of becoming a new patient, please complete this form with your personal information. 

Upon receiving your inquiry, we will contact you to schedule an intake appointment. usually within 5 business days.  We look forward to the opportunity to serve you with the utmost care.  

NOTE: We do not participate with Medicaid.