Free Consultation

If you'd like to learn more about our services to determine if they're right for you, please use this form to request a free 15-minute telephone consultation with one of our practiioners. We will contact you to set up an appointment for the call. If you wish, you may include a brief message describing the medical issues you would like to discuss.  (* indicates required information)


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I understand and agree that any information submitted will be forwarded to our office by email

and not via a secure messaging system. This form should not be used to transmit private health

information, and we disclaim all warranties with respect to the privacy and confidentiality

of any information submitted through this form.



Integrative Medical NY

200 West 57th Street,

Suite #200, New York, NY 10019

                                                    

Phone: (212) 399-7000 | Fax: (877) 413-3872

admin@integrativemedicalny.com | www.power2patient.net