Pre-visit Questionnaire

I understand that this is a cash-pay proactice and the practice does not bill insurance for visits.*

I'm comfortable paying out-of-pocket for services, knowing that I may still use insurance for labs, imaging and prescription prescriptions*

I understand that care is offered through structured 6 or 12 month membership progams designed to help optimize hormones and overall wellness with personalized ongoing support. This high-touch, customized approach sounds like what I've been looking for. I'm ready or plan that's tailored to me and delivers real results.*

I understand that care delivered via telemedicine is for patients located in: Connecticut (New York licensure is in process). I will be physically located in the appropriate state at the time of my visit.*

I am confident in this care model, ready to prioritize ME, to take my health seriously and would like to schedule my free initial call to learn more.*