LumaRose Health & Wellness
All fields are required
Type of Visit
LumaReset New Patient Offer
Standard Sick Visit (Same-Day Telehealth)
Prescription Refill Services
Sexual Health Services
Weight Management: Initial Evaluation
Weight Management: Follow Up
Primary Care: Initial Evaluation
Primary Care: Follow Up
Membership- Essential Wellness- Initial Evaluation
Membership-Everyday Care ( Popular) Monthly
Membership- Advanced Health + Weight Management (Monthly)
Membership-Concierge Advanced (VIP)
Follow Up: Membership
Video Visit
Office
LumaRose Health & Wellness
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
Virtual Only Houston TX
Virtual Only Houston TX
New and Existing patients can make appointments online.
Office Phone:
(346) 623-2689
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
45 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment