Name of Patient

Email Address

Are you 18yrs or older? Are you 18yrs or older? Yes No

”Please

Are you inquiring about a pre-diagnosed health issue or a chronic illness? Are you inquiring about a pre-diagnosed health issue or a chronic illness? Yes No

If your condition is an acute emergency, please seek healthcare services closest to you.

The VIOS Clinic is specifically designed to help patients with a previously diagnosed chronic disease and wish to get expert opinions and guidance. The VIOS Clinic is specifically designed to help patients with a previously diagnosed chronic disease and wish to get expert opinions and guidance. I understand

Is this booking for yourself, or on behalf of someone else? Is this booking for yourself, or on behalf of someone else? For myself For someone else

In this meeting, the Doctor will not be discussing your case unless you proceed with a membership plan at your convenience. In this meeting, the Doctor will not be discussing your case unless you proceed with a membership plan at your convenience. I understand

You may inquire about your chosen Doctor's credentials, training & clinical experience related to your health issue You may inquire about your chosen Doctor's credentials, training & clinical experience related to your health issue I understand

You will not receive any prescriptions in any form You will not receive any prescriptions in any form I understand

Are you a resident of the United States of America? Are you a resident of the United States of America?YesNo

State (according to official ID eg. Driver's License)

Which city will you be joining from?

Select Specialty Select SpecialtyFamily MedicineInternal MedicinePediatricsNephrologyPulmonologyDermatologyChronic PainFunctional MedicineGeriatricsOphthalmologyOrthopedicsSurgeryCritical Care

Select your Doctor Select your DoctorDr. SheelaDr. GauravDr. EstherDr. RavikumarDr. Charlene

Select your Doctor Select your DoctorDr. EstherDr. TingDr. FikayoDr. Naoko

Dr. Esther will only accept patient bookings from residents of the state of Florida. International patients may make an appointment as well Dr. Esther will only accept patient bookings from residents of the state of Florida. International patients may make an appointment as wellI am a resident of FloridaI am not a resident of FloridaI am an international patient

Dr. Sheela will accept patient bookings from residents of the states of Ohio, Kentucky, Idaho, New York & North Carolina only. International patients are welcome to make a booking as well. Dr. Sheela will accept patient bookings from residents of the states of Ohio, Kentucky, Idaho, New York & North Carolina only. International patients are welcome to make a booking as well.I am a resident of Ohio, Kentucky, Idaho, New York or North CarolinaI am not a resident of those statesI am an international patient

Select your Doctor Select your DoctorDr. Charlene

Dr. Charlene is accepting patient bookings from residents of Florida only. International patients are welcome to make a booking as well. Dr. Charlene is accepting patient bookings from residents of Florida only. International patients are welcome to make a booking as well. I am a resident of FloridaI am not a resident of FloridaI am an international patient

Dr. Saad is accepting patient bookings from residents of Florida only. International patients are welcome to make a booking as well. Dr. Saad is accepting patient bookings from residents of Florida only. International patients are welcome to make a booking as well. I am a resident of FloridaI am not a resident of FloridaI am an international patient

Select your Doctor Select your DoctorDr. Saad

Select your Doctor Select your DoctorDr. Srikanth

Select your Doctor Select your DoctorDr. Juan

Select your Doctor Select your DoctorDr. Luis

Select your Doctor Select your DoctorDr. Naved

Select your Doctor Select your DoctorDr. Naved

Select your Doctor Select your DoctorDr. KariDr. Kavita

Dr. Kari is accepting patient bookings from residents of CA, TX, WA & OR. International patients are welcome to make a booking as well. Dr. Kari is accepting patient bookings from residents of CA, TX, WA & OR. International patients are welcome to make a booking as well.I am a resident of California/Texas/Washington or OregonI am not a resident of those statesI am an international patient

Select your Doctor Select your DoctorDr. Jay

Dr. Jay is accepting patient bookings from residents of Florida & Georgia only. International patients are welcome to make a booking as well. Dr. Jay is accepting patient bookings from residents of Florida & Georgia only. International patients are welcome to make a booking as well.I am resident of Florida/GeorgiaI am not a resident of those statesI am an international patient

Select your Doctor Select your DoctorDr. Nico

Dr. Nico is accepting patient bookings from the state of Indiana only. International patients are welcome to make a booking as well. Dr. Nico is accepting patient bookings from the state of Indiana only. International patients are welcome to make a booking as well.I am resident of IndianaI am not a resident of IndianaI am an international patient

We apologize. Due to state medical regulations, we are not permitted to process out-of-state patient bookings. We apologize. Due to state medical regulations, we are not permitted to process out-of-state patient bookings. Cancel registration & Return to Clinic page

Disclaimer Disclaimer I agree to the terms & conditions I wish to read the terms & conditions