Forms & Instructions

Everything You Need,
In One Place.

Everything you need to prepare for your visit and understand your treatment — organized, easy to find, and always updated. Clear, patient-first resources.

New Patient? Start Here

Three Steps to Your
First Appointment

Complete these before arriving and your visit will be smooth, fast, and focused entirely on your healing.

1
Complete Your
Forms Online
New patient paperwork & intake forms below
2
Check Off Your
Pre-Visit List
ID, payment method & imaging records
3
You're Ready.
We Handle the Rest.
Our team will walk you through everything else
Pre & Post Instructions
1 Document
Patient Education
1 Document
Nutrition & Lifestyle
1 Document
Medication Refill Request
Online Form
Current Patients Only

Request a Medication Refill

Use the form below to submit a refill request for your hormone, peptide, or other JRCU-managed medications. Our team typically responds within 1–2 business days. For urgent needs, please call (801) 996-3592.

New Patient Paperwork
2 Programs

Complete your intake paperwork online before your first appointment — this saves significant time at the clinic and ensures your provider has everything needed to build your personalized protocol.

Regenerate Program
Joint Repair & Pain Relief

New patient intake for exosome therapy, stem cell therapy, PRP, orthobiologics, and all regenerative joint treatments.

Regenerate Intake Forms (Coming Soon)
Optimize Program
Hormones, Peptides & Performance

New patient intake for hormone replacement therapy, peptide protocols, Class IV laser, and the full Optimize program.

Optimize Intake Forms (Coming Soon)

EHR portal links are being finalized — direct form access will be added here shortly. In the meantime, call (801) 996-3592 and our team will send your paperwork directly.

Your Visit

What to Expect at Your Appointment

Complete
Forms Online
Fill out all paperwork before arrival — saves 20+ minutes in the office
Bring a Valid
Photo ID
Government ID, and any prior imaging, X-rays, or diagnostic reports
Meet Your Provider &
Review Your Case
A thorough consult — your provider reviews your history, imaging, and goals
Leave with a
Clear Plan
You'll leave knowing your diagnosis, options, and next steps

Don't see a specific form? Some documents are provided directly by our staff at your appointment. Call (801) 996-3592 or send us a message and we'll get it to you right away.

New Patient Prep

Your Pre-Visit Checklist

Tap each item as you complete it. Watch your progress grow — you've got this.

0 of 5 steps completed
1
Gather Prior Imaging Reports
Any X-rays, ultrasounds, or diagnostic reports related to your condition
Helpful
2
Note Current Medications & Supplements
Bring a list or photos of your current medications and dosages
Helpful
3
Complete New Patient Paperwork
Complete your intake forms online before your visit — saves time at the clinic
Forms
4
Write Down Your Questions for Your Provider
No question is too small — we want you to leave feeling 100% confident
Recommended
5
Bring a Support Person
We encourage you to bring your spouse or partner to your consultation. This is a highly educational visit, and having a loved one present can be very helpful for providing health history, asking questions, and helping you remember important information discussed during your appointment.
Encouraged
We're Here to Help

Have Questions Before
Your Appointment?

Our team is available Monday – Friday, 9 AM – 5 PM. We're happy to walk you through any form or prep step.

Book Your Consultation