Schedule an Appointment - Pria Wellness Center

Patient's Name*

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Patient's Phone*

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Preferred Appointment Date*

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Preferred Appointment Time*

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What type of service are you interested in?*

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Weight Management
Hormone Replacement
Age Management
Chronic Disease Management
Primary Care Services

How did you hear about us?

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Physician
Patient
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Deposit for Wellness Services

This deposit will be applied to the cost of the Wellness Services you receive. If you cancel your appointment, your $50 deposit minus a $25 processing fee will be refunded to you. By entering your payment data and clicking on the Request Appointment button below you are agreeing to these terms.

Price: $50.00

Total

$0.00

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