Forms & Instructions

Everything You Need,
In One Place.

Everything you need to prepare for your visit and understand your treatment. Clear, patient-first resources.

Browse Documents My Pre-Visit Checklist
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
Complete Forms Online Call Us First
Procedure Prep Instructions
1 Document
Pre and Post Treatment Instructions
PDF
Download
Medication Refill Request
Online Form
Current Patients Only

Request a Medication Refill

Use the form below to submit a refill request for your 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.

Regenerative Medicine Intake Forms
Health & Wellness
Peptide Intake

New patient intake for peptide protocols.

Health & Wellness Intake Forms

Call (801) 996-3592 for intake forms. If you cannot finish the forms online, arrive 10–15 minutes early.

Your Visit

What to Expect at Your Appointment

Complete
Forms Online
Fill out and submit new patient paperwork online before arrival
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

Call (801) 996-3592 if you need help with forms. If you cannot finish the forms online, arrive 10–15 minutes early.

New Patient Prep

Your Pre-Visit Checklist

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

0 of 6 steps completed
1
Read Confirmation Email
Review the appointment details and instructions in your confirmation email
Required
2
Gather Prior Imaging Reports
Bring MRIs, surgical reports, and other imaging, or email them to hello@regenerationutah.com
Helpful
3
Complete New Patient Paperwork
Fill out and submit new patient paperwork online before arrival
Forms
4
Review Pre-Treatment Instructions
Read procedure prep instructions if you may receive same-day treatment
Required
5
Write Down Your Questions for Your Provider
No question is too small — we want you to leave feeling 100% confident
Recommended
6
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.

Call (801) 996-3592 Send a Message
Book Your Consultation