Free Phone Meet & Greet Sign-Up
First Name
*
Last Name
*
Email
*
Phone
*
Date of birth
Reason for Interest
*
How'd you hear about us?
*
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.
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.
Schedule My Free Phone Meet & Greet