Telemedicine Appointment
Primary Care
Psychiatry
Payment Type
Self Pay
Insurance
New Patient
: $250.00
Established Patient Follow Up
: $175.0
Please email a photo of your Insurance card, front and back to
medicalrecords@hillsidemedicalgroup.com
Payment Type
Self Pay
Insurance
New Patient
: $175.00
Established Patient Follow Up
: $100.00
Please email a photo of your Insurance card, front and back to
medicalrecords@hillsidemedicalgroup.com
Date Of Appointment
Location
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Time Slot
First Name
Last Name
Cell Phone
Date of Birth
Reason to Visit
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