Name *

Email Address *

Phone Number *

Consent to Receive Text Messages *By selecting the YES box, you are consenting to receive text messages from Vida Medical Clinic at the number provided, including messages sent by auto dialer. Vida Medical Clinic can communicate with patients via SMS on a one-on-one basis for those who request SMS communications. We do not use SMS campaigns to send blasts. Message and data rates may apply when texting. Message frequency may vary. The types of messages sent to patients include, but are not limited to, our office hours and locations, reminder to call clinic to schedule an appointment, or to call clinic for an update on results. Carriers are not liable for delayed or undelivered messages. For assistance, patients can text HELP, and to stop receiving messages, they can text STOP or UNSUBSCRIBE. We will not transfer your data to external organizations for purposes unrelated to your care or legal compliance, except as required by law. Vida Medical Clinic implements strict access controls, encryption, and regular audits to ensure your data is protected from unauthorized access. For SMS-related inquiries or to opt-out of text messaging, please contact us at 920-731-3454 or nurse@vidacares.org.

Which medical clinic location do you prefer for your appointment? *Appleton (720 W. Association Dr. Appleton, WI 54914)Oshkosh (1484 W South Park Ave., Oshkosh, WI 54902)

What day(s) work for you? *Monday (Appleton Location Only)Tuesday (Appleton Location)Wednesday (Appleton Location)Thursday (Appleton and Oshkosh Locations)Friday (Oshkosh Location Only)

What time works for you? *MorningAfternoon

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Vida Medical Clinic Hours and Locations

Hours:

Location: 720 W Association Dr. Appleton, WI 54914

Hours:

Location: 1484 W South Park Ave., Oshkosh, WI 54902