Medical Emergency Disclaimer: If you are experiencing a medical emergency, call 911 immediately or proceed to the nearest emergency room.
Appointment Disclaimer: Submission of this form does not secure an appointment. A member of our healthcare team and/or provider will review your information and contact you regarding scheduling availability.
Payment Policy: All telehealth and virtual consultations are cash-based services. Payment is required prior to appointment confirmation and scheduling.
Privacy Notice: Information submitted through this form will be handled confidentially and used solely for appointment and healthcare communication purposes only. For the description of the Elite concierge service Elite Concierge Care A personalized, fee-base concierge service designed to provide enhanced access, healthcare coordination, wellness guidance, appointment facilitation, and individualized support tailored to your goals and lifestyle.