+1.888.458.HEAL (4325)
Dial Ext.1 Program Sales
Mon - Fri: 8:30 - 17:30
Appointment Hours
Dial Ext.1 Program Sales
Appointment Hours
A secure HIPPA compliant medical intake form for USAMCA (US, Canada, Mexico patients).
Schedule your medical intake (initial review) and then secure your confidential doctor visit online.
You and your doctor establish an initial treatment program customized for you.
Please click on the link below.
Enter your email address.
An email confirmation and password will be sent to you, so you can login into the website and fill in the confidential HIPPA compliant online intake form.
DISCLAIMER: This website is an educational service that provides general health and wellness information only. It is not intended to diagnose, treat or cure any health-related condition. Please always consult a physician regarding your health before starting any health or diet program. No medical treatment can guarantee results. Results vary among individuals. We encourage you to do your own research, ask questions, and review board certifications and testimonials on any similar websites describing similar therapies. Please review our Terms of Use for more information.