Start your optimization
Fill out the form. Our team will reach out within one business day to confirm your state eligibility and schedule your consultation.
Your information is protected
This intake is handled through IntakeQ, a HIPAA-compliant healthcare platform under a signed Business Associate Agreement. Your responses are encrypted in transit and at rest, stored only in HIPAA-covered systems, and shared only with the clinical team treating you. See our Privacy Policy and Telehealth Informed Consent.
Begin your secure intake
Click below to open our HIPAA-protected intake form. It takes about 12–15 minutes and covers identity verification, medical history, and the consent forms required for telehealth care in New York.
Your answers save automatically — you can pause and return.
Start secure intake →Opens in a new tab on intakeq.com. You'll verify your email or phone before you begin.
Please do not send health details via email. Email is not HIPAA-compliant for clinical information — use the secure intake form above for any protected health information.
Available in New York. Telehealth services are currently offered only to New York residents. State expansion is in progress as we add licensed clinicians in additional states.