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Tell us what you're dealing with. We'll talk through the fit on a free call, about 15 minutes, no obligation.

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Patient's first name *

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Patient's last name *

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Patient's email *

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Patient's phone *

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Patient's time zone

What brings the patient in? *

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Anything you'd like the team to know optional

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We have it, friend.

Case ref. CB-26-0184 · Queued for physician team review

What happens next

01 Confirmation email to your inbox, with your intake summary Within ~5 min
02 A patient coordinator texts or calls to gather details Typically 1 business day
03 Independent medical review. Written recap. Fit or not. After the review

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