Patient Questionnaire

To understand your health journey, we ask new patients to fill out our questionnaire before we start the process. This ensures we can provide the care you're looking for. Once you've submitted your information, a team member will contact you and guide you through the next steps.

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Patient Questionnaire

Name(Required)
Please enter a number from 1 to 10.
1= Not Important, 10= Extremely Important
Please enter a number from 1 to 10.
1= Not willing, 10= I'll do whatever it takes!
How soon are you willing to start taking the steps to reach your health goals?(Required)
How did you hear about us?(Required)

If you have a referral, please let us know who they are in the "other" box so we can thank them!
I understand that this is a concierge practice and Julie Taylor MD and her extensive team are not contracted with any health insurance companies, thus allowing her team to serve patients at the highest level possible. Fees are $6,500-$8,000 per year.(Required)