$500 New Patient Reservation Fee

$ 500.00

I acknowledge, that the Institute for Hormonal Balance, LLC charges a $500.00 non- refundable reservation fee for all new patient appointments. I also acknowledge, that I must give a 48 business hour notice (2 Business Days) in order to reschedule or cancel my appointment.

I authorize the Institute for Hormonal Balance, LLC to charge my credit card in the amount of $500.00 to reserve my appointment at the Institute for Hormonal Balance, LLC.

Institute for Hormonal Balance, LLC 7009 Dr. Phillips Blvd.

Suite 150
Orlando, Fl. 32819

Office: 407-363-9665 Fax: 407-352-2668

info@dredwinlee.com

Related products