SERVICE REQUEST
Get started below, and I'll personally review your information and get back to you within 15 to 30 minutes.
Prefer a HIPAA-compliant way to reach me? Feel free to use my secure form instead. It takes just a moment to verify your email address, and then you're all set.
Need help sooner—or just don't feel like filling out a form? Call or text me directly at 941-525-9000. We can always take care of the details, like the correct spelling of your name, your date of birth, email address, and mailing address after we talk.
Talk to you soon!
TERMS AND CONDITIONS
YOUR LOCATION
You must be physically located in Arizona, Florida, or New York to receive services. If you need a prescription, please provide your complete address in the Health Concerns/Details field. Also make sure to indicate your medication allergies.
NO EMERGENCY
In emergency, please contact your nearest emergency medical services (911) immediately
LIMITED SCOPE OF PRACTICE
We are not a primary or urgent care physician’s practice: our services are limited to treating adult patients with common and non-emergent conditions. Patients with multiple and/or complex health problems should seek care at a traditional full-service medical practice.
NO MEDICAL ADVICE
This communication is solely to inform you of our currently available services and providers, does not constitute medical advice, does not create a duty of care or a doctor-patient relationship, and is not a guarantee of medical care.
ELECTRONIC COMMUNICATION
By submitting this request, you are agreeing to communicate with us electronically through unencrypted (unsecure) means (web, email, and text) thus waiving our obligations under HIPAA with respect to secure communication. If privacy is a concern, please do not continue and call instead.