What state do you live in? *

(We are only able to see patients in certain states.)

Do you currently have medicare OR medicaid coverage? *

What is your top health concern or symptom you’d like to focus on during your initial consultation? *

We specialize in symptoms associated with perimenopause, menopause, hormonal health, or midlife wellness (including weight, sleep, or libido). Are any of these the problems you'd like us to help solve? *

Are you comfortable with virtual video visits conducted via a secure telemedicine platform you can access via phone, tablet, or computer? *

Have you previously worked with a menopause or hormone specialist—or would this be your first time? *

Assuming we can help, are you interested in discussing treatment options that may include hormone therapy, lifestyle modifications, supplements, or lab testing? *

Do you have access to recent labs, imaging (such as a DXA scan or mammogram), or medical records that we can review before your visit? (If not, we can order) *

Are you seeking both menopause care and support with midlife weight or metabolic changes? *

We not to bill insurance for visits so we can spend more time with you, offer personalized care, and focus on what truly helps you feel better—without being limited by insurance rules or rushed appointment slots. (We do accept insurance for labs and medications.) Are you open to this kind of care model that prioritizes your goals and well-being? *

First Name *

Last Name *

Phone *