Client Intake form
Please fill out my client intake form. The information taken here is for health purposes only. This form is HIPAA compliant.
Once you have filled out the intake form, please return to the schedule a consultation page, to select the type of visit and to book a time.
Area of Service
Area of Service: Chicago, Oak Park and Near North Suburbs. If you are out of this service area, please contact Juli before scheduling a visit.
Confirm your coverage
Before scheduling a tele health consultation, confirm that your insurance plan covers tele health. Generally Aetna and UHC plans only cover in home visits.
If you are not sure contact Juli.