Schedule an Appointment - Pria Wellness Center

Patient's Name*

First Last

Patient's Phone*

Patient's Email*

Preferred Appointment Date*

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DD

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Preferred Appointment Time*

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MM

What type of service are you interested in?*

Please select all that apply.

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

How did you hear about us?

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Physician
Patient
Employee
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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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