Medical Enrollment Agreement
This is the medical enrollment form. Please choose the services below that you have an interest in. After enrollment you will speak to one of our doctors, at which point they will help determine the safest and most effective course of action.
Click below to affirm the following:
- I agree to consult with a physician
- I understand and agree that I will not recieve any services until I recieve a prescription
- I affirm that I am at least 18 years old