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Service:Followup Consultation - 25 minutes add another, change
Staff: Cynthia Foster, MD
Date/time:Wed, Jan 23 2019 at 7:00 PM (PST) change

Now that you've selected your date and time of appointment and type of consultation (see details above), please fill out the form below to send us your name and contact details.  You will then be prompted to enter payment information.  


If you signed up for a PACKAGE of multiple consultations: you should receive an email containing a Redemption code for that package.  If you can't find the email, please check your spam or promotions folder.  You will use this redemption code in order to book each of those appointments so that you are not charged again when you book the appointments. You should be able to click on the "Proceed to payment" button with your redemption code entered instead of your payment information.  If you cannot find the email with your redemption code, please email us at [email protected] and we can look it up for you.

You do not have to be a registered user to schedule an appointment.  But, if you have an account already, you can click on the sign-in link below.   Otherwise, simply fill out the form, then click the button "Proceed to payment" to proceed.  

Cancellation policy: If you simply need to move the time and day of your appointment, you can do so free of charge.  Simply click on the link provided in your confirmation email to move your appointment to a time and day that is more convenient for you.   If you need to cancel, please do so within 24 hours of your appointment to avoid the cancellation fee of 5%.  A cancelled appointment that is paid by credit card and not rescheduled will be assessed a 5% fee.   Thank you! 

Please do not submit any Protected Health Information (PHI)

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First name*
Last name*
Email*
Phone*
Skype ID or Phone #:
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List Details:
Additional Comments
Download Patient Questionnaire:
Go to this link: http://bit.ly/2G29rIT
Redemption code
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Payment is required to book appointment.