Appointments Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!NamePhone*Email* Nature of Visit* Men under 40 Women under 40 Men 40+ Women 40+ Executive Health Physical Sexual Health (O-Shot / P-Shot) GainsWave Cardiac Consult Better Brain Consult Functional Medicine Consult Hormone Replacement Therapy VO2 Max Testing Carotid IMT Testing Vampire Facial CAPTCHAEmailThis field is for validation purposes and should be left unchanged.