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Today 7:30 am - 6:00 pm

24/7 member line (310) 555-0177

Request an appointment

Four short steps. Members are offered a same-day or next-day slot; prospective members start with a twenty-minute discovery call.

This form is not monitored for emergencies. If this is a medical emergency, call911 or go to the nearest emergency department. For urgent but non-emergency questions, members should call the 24/7 line on (310) 555-0177.

  • A coordinator replies within one business day.
  • Nothing is charged, and nothing is confirmed, until you speak to someone.
  • Executive physicals can be booked without membership.

Brighton Way clinic

9440 Brighton Way, Suite 400, Beverly Hills

(310) 555-0164

Sunset Plaza clinic

8620 Sunset Boulevard, Suite 210, West Hollywood

(310) 555-0168

Palisades consulting rooms

15300 Sunset Boulevard, Suite 105, Pacific Palisades

(310) 555-0172

A physician greeting a patient in a consulting room

Step 1 of 4Nothing is sent until you submit

Who is this appointment for?
What would you like to discuss?

This is a demonstration form. Please do not enter real personal health information.

Where and when suits you?
Preferred time of day
How should we reach you?

Please enter your name.

Please enter a phone number we can reach you on.

Please enter a valid email address.

If this is a medical emergency, call 911 or go to the nearest emergency department. Members with an urgent question should call the 24/7 line on (310) 555-0177.

Request received

Thank you. Our membership team reviews appointment requests every business morning and afternoon, and you will hear from us within one business day.

  • A coordinator calls you on the number you gave to confirm the slot and the physician.
  • If you are new, we send the records release form so your history arrives before the visit.
  • You get a portal invitation with the intake questionnaire and any preparation instructions.

Do not wait for our reply if your symptoms change. Call the 24/7 member line on (310) 555-0177, or 911 in an emergency.

What happens after you send it

The same five steps every new member goes through, starting with the call you get back.

  1. 01

    Week 0

    Discovery call

    Twenty minutes with the membership team. We describe what membership does and does not cover, and you decide whether it fits.

  2. 02

    Weeks 1 to 3

    Records and history

    We request records from every practice you have seen and reconcile them into a single history, including imaging and pathology.

  3. 03

    Week 3

    Comprehensive intake

    Ninety minutes with your physician: full examination, baseline laboratory panel, family-history map and a screening audit.

  4. 04

    Week 4

    Your written plan

    A screening calendar to age 75, a reconciled medication list with the rationale for each, and the two or three changes worth making first.

  5. 05

    Week 13

    Ninety-day review

    A follow-up visit to check what has actually changed, repeat anything that needed a re-test, and set the ongoing interval.

Submitting this demonstration form does not create a physician-patient relationship and stores no data. Nothing on this website is medical advice.

Prefer to call?

The membership team answers weekdays from 8 am. Members reach a physician at any hour on the 24/7 line.

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