Virtual Care for Families - CARES Act Program

Virtual Care for Families

CARES Act Program

Closed

8:00am to 9:00pm CST

(512) 884‑5190

REASON FOR VIDEO VISIT

CHOOSE A DATE AND TIME:

HAVE YOU BEEN TO VIRTUAL CARE FOR FAMILIES BEFORE?:

No

Yes

PATIENT INFO:

Patient first name

Patient last name

Year

Mobile number

Email address

HOME ADDRESS:

Street Address

Apt, Suite, etc (optional)

City

ZIP code

I have read, understand and agree to Solv Health’s Terms of Service, Financial Relationships, and Privacy Policy.

I give my consent for the use of telemedicine in my medical care and have read, understand, and agree to these Terms

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For emergencies please call 911