Call 221-8621 or email for your next step at a better life!


New Medical Patient Form

This form is for interested clients only --not for spam. New medical patients are required to make a $100 deposit to secure the appointment date and time. This will be a credit and is non refundable. 

The forms will be sent to you via text/email. These forms will expire within a certain time. We have no control over this. Please fill them out when you receive the notice.

Completion of the paperwork prior to the visit will  allow us to focus on you and not creating a chart during your visit.

We are unable to provide lab orders or medications without a chart. This process can take 45 minutes to an hour and your entire visit may be used creating your chart. To prevent this we complete chart prep prior to your arrival.