Confirm - Verve Health

Confirm Appointment

"*" indicates required fields

First Name*

Last Name*

Phone*

Email*

What is your Biological Sex*

State of Residence*

What is your Year of Birth?*

What is your Month of Birth?*

What is your Day of Birth?*

Please note that appointments must be canceled or rescheduled at least 12 hours prior to your scheduled time to avoid a cancellation fee. Failure to cancel or reschedule within this timeframe, or not attending your appointment ("no-show"), will result in a $25 fee, which will be charged to your account. We understand that unforeseen circumstances may arise, and we appreciate your cooperation in notifying us as soon as possible to ensure we can accommodate other patients. By booking an appointment with Verve Health, you acknowledge and agree to abide by this cancellation policy. Thank you for your understanding.