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Please read and check to acknowledge that you understand the following:

Things To Know About Us:

• We offer concierge wellness with health coaching tailored towards individuals seeking a proactive approach to optimal health. We are NOT a testosterone clinic
• We do not accept insurance.

I have read and understand the above conditions.

Patient Selection:

• We are selective about the patients we accept to ensure each individual aligns with our wellness approach.

I have read and understand the above conditions.

Intake Form and Pre-Consultation Phone Call:

• Upon scheduling your appointment, you will receive a link to an INTAKE FORM from
  Elation Health.
• You will receive a call from us to determine if we a good fit for you and your wellness
  needs.
• The INTAKE FORM must be completed within 48 hours of receiving the link or else the
  appointment will be cancelled.

I have read and understand the above conditions.

Consultation Fee:

• There is a non-refundable $150 consultation fee.
• This fee will be applied towards any services you initiate with us.

Thank you for your interest in The Men’s Clinic for Wellness and Vitality. We look forward to partnering with you on your journey to better health.

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