Please fill out the following form
Once submitted you will receive a phone call consultation during business hours the same or following day with a medical provider to evaluate and decide if you are healthy enough to continue with the weight loss program.
If you want to set up a specific time, you can book it under "TELEMEDICINE" at a specific time and date during business hours, or text us a time.
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Telemedecine has additional costs as listed below:
> remote payment credit card procession fee ...............$3.00
> Shipping and handling fee ..........................................$7.50
Total: $10.50 of additional fees
Payment will be processed over the phone right after your telemedecine consultation if you are a good candidate to continue with the weight loss program.
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