First Name *

Last Name *

Email *

Phone

By checking this box, I consent to receive non-marketing text messages from Resolute Integrative Health LLC regarding appointment reminders, scheduling updates, membership or account notifications, and other non-promotional patient communications. Message frequency varies. Message and data rates may apply. Text HELP for assistance or reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional text messages, including health and wellness information, clinic announcements, special offers, service updates, and other promotional content from Resolute Integrative Health LLC at the phone number provided. Message frequency varies. Message and data rates may apply. Text HELP for assistance or reply STOP to opt out.

Preferred Follow-Up Method *

Sms

What is the best time to contact you ? *

Company Name *

Company Website *

Title / Role *

Business Location / City *

Business Location / State *

What percentage of your employees reside in Southern Oregon? *

What is your Industry? *

Do you currently offer health benefits? (Select all that apply). *

What are you hoping to improve? (Select all that apply) *

Reduce healthcare-related costs

Improve employee access to care

Offer a better benefit without a traditional insurance plan

Supplement an existing insurance plan

Support recruitment and retention

Provide care for a small team

Explore Direct Primary Care for employees

Other : Please Specify Below what you are hoping to improve?

When are you hoping to make a decision? *

Please Let us know if there is anything you need.