• Health Insurance Plans NOT Accepted.
• HSA, Credit Card, Check only

​Initial Evaluation (50 mins) - $ 440. 

Initial Evaluation
​Form

Policy & Charges
​Info

CC/HSA Payment
​Form

​Follow-up Medication Management (20 mins) - $220.

Med F/U Visit
​ Form

Update New CC/HSA Payment  Form

Schedule
​Appointment

​​
Additional Services and Fees available per request. 
If trouble downloading, Request forms by email Email:mannyg911@outlook.com

HSA, Credit /Debit Card, or Cash Payments Only! - due same day of service.​Health Insurance Plans NOT ACCEPTED​.