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Service:New Patient Holistic Skin Care Office Visit: Adult add another, change
Practitioner: None available
Date/time:Please contact us to schedule this service.

NEW PATIENT INSTRUCTIONS

Patient Names:

Appointments should be scheduled using the patient's legal name (not a spouse/parent/guardian's).
Except in cases of minors/dependents, register using the patient's personal email as well, which will become your username for health record access.

Initial Appointment Durations:

Initial appointments are billed at a flat rate and typically run 60-90 minutes for ages 13 and up, and 60-75 minutes for ages 12 and under.  We will reserve the maximum time for your initial appointment; your duration may vary.



Please do not submit any Protected Health Information (PHI)

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First name*
Last name*
Email*
Phone*
Date of Birth*
Street address*
City, state, zip*
Select your appointment format:*
New patients: select either Zoom or MONDAYS in person
How did you hear about us?*
* required field