Request an Appointment

If you are not currently a patient at Vida Medical Clinic and are interested in receiving care, we are here to help you!

Please call us at 920-731-4354 or submit an appointment request, and a nurse will contact you. 

Request An Appointment Form


This form does not guarantee an appointment. A Vida nurse will be in contact with you upon submission of this form to schedule an appointment. All services are at no cost to you.

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