Free Phone Meet & Greet Sign-Up

First Name *

Last Name *

Email *

Phone *

Reason for Interest *

I understand and agree to the following: *

I understand that NiuOla Health does not bill insurance. I am aware that I can join regardless of whether I am insured or uninsured.

I understand and agree to the following: *

I acknowledge that this is a membership-based practice model, with a fee of $175 a month for the Premier Membership or $275 a month for the Signature Membership. I understand that this fee is charged monthly, similar to a gym or Netflix membership, whether I am seen that month or not.

I understand and agree to the following: *

I commit to being a member for at least 12 months to foster a meaningful, long-term relationship with my care team. (This is not enforced, but preferred.)

I understand and agree to the following: *

I look forward to receiving personalized care and attention tailored to my needs. I will have direct access to my doctor via text, phone, and email for easy communication.

I understand and agree to the following: *

I understand this phone meet & greet is purely informational - to learn about the membership model and to determine if the practice is a good fit. No medical advice or treatment will be provided during this visit.

I understand and agree to the following: *

By providing my phone number, I agree to receive text messages from the practice.