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Step 1 of 9 - Enter your basic information
You will be required to upload photos of the front and back of your insurance card and your photo ID to verify your insurance and identity.iPhone users: You will be able to take the picture when asked to upload.
You will be required to upload photos of the front and back of your insurance card and your photo ID to verify your insurance and identity.
Android Users: Please take pictures of these before you start so you can easily upload them as a file when asked to upload.
All appointments are conducted online via Telehealth using your computer, tablet, or smartphone.
Our first appointment time slots start at 8am and our last appointment time slots start at 7pm.
Please select all of the time slots you prefer below.
All files must be uploaded in jpg or png format.
Tip: If your photo file size is too large and exceeds the limit, you can take a screen capture of your photo and instead upload the screen capture.
The next 3 pages contain 21 easy questions that will provide us insights into your current well-being. Please answer the questions the best that you are able to.