Medical Intake

Medical intake history

Please take a moment to fill out the form. This will allow our doctors to review your medical information to qualify you and help you choose the appropriate treatments.

STEP 1
SUBMIT PAYMENT PLAN
INTAKE FORM
Please complete the payment plan form we send you over email. We will add all your payment information to our secure payment processor.
Email us at info@nuvolifehealth.com Or you can call us at 424-610-9386
to set up your payment account

STEP 2
PAY
DOWNPAYMENT

Pay the $99 downpayment
We will process this through our payment portal using the card info provided

STEP 3
MEDICATION
SHIPPED
You will then be charged weekly (typically $39) to pay off the balance on your
account