For Providers
Supporting Your Patients Between Visits—With Structure, Accountability, and Results
Provider Referral Form
This form is for referral purposes only. Detailed medical information will be collected directly from the patient through secure channels.
Vitality Wellness by Luxe is the metabolic and root-cause wellness division of Luxe Aesthetics & Wellness, operating as one unified practice.
Patients may see either brand name depending on the service, but all care is provided through Luxe Aesthetics & Wellness.
1975 W. 100 N. STE C. Angola, IN 46703
260.269.LUXE (5893)
