Telos Living Contact: Book a Call

I understand that completion of this intake form and the complimentary 20 minute introductory video call does not establish a patient–provider relationship or constitute medical advice, diagnosis, or treatment. This process is solely to help determine whether our services are appropriate for you. A formal patient–provider relationship is only established after you complete all required consent forms, participate in an official intake evaluation, and both you and the provider mutually agree to enter into a care relationship.

If you are experiencing a medical emergency or urgent symptoms, please seek immediate care from your primary healthcare provider or call emergency services.

I understand that Telos Living is not in-network with any commercial health insurance plans. I acknowledge that I am responsible for payment at the time of service.

I understand that completion of this intake form and the complimentary 20 minute introductory video call does not establish a patient–provider relationship or constitute medical advice, diagnosis, or treatment. This process is solely to help determine whether our services are appropriate for you. A formal patient–provider relationship is only established after you complete all required consent forms, participate in an official intake evaluation, and both you and the provider mutually agree to enter into a care relationship.

If you are experiencing a medical emergency or urgent symptoms, please seek immediate care from your primary healthcare provider or call emergency services.

I understand that Telos Living is not in-network with any commercial health insurance plans. I acknowledge that I am responsible for payment at the time of service.

I understand that completion of this intake form and the complimentary 20 minute introductory video call does not establish a patient–provider relationship or constitute medical advice, diagnosis, or treatment. This process is solely to help determine whether our services are appropriate for you. A formal patient–provider relationship is only established after you complete all required consent forms, participate in an official intake evaluation, and both you and the provider mutually agree to enter into a care relationship.

If you are experiencing a medical emergency or urgent symptoms, please seek immediate care from your primary healthcare provider or call emergency services.

I understand that Telos Living is not in-network with any commercial health insurance plans. I acknowledge that I am responsible for payment at the time of service.

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