REQUEST YOUR IV Wellness Drip Name * First Name Last Name Email * Type of Drip: * *if you're not sure, just select "I'm Not Sure!" and the nurse will discuss with you. Immunue Boost Hydration Too Much to Drink Recharge Glamour Fat Burner Youth Restoring Gastrointestinal Jet Lag Trip Once a Month PMS The 19th Hole Active Recovery Stress SOS Monoclonal Antibody Treatment COVID-19 Antibody Testing IGG & IGM I'm Not Sure! FIRST CHOICE Date Request: * MM DD YYYY FIRST CHOICE Time Request: * Please check as many as you want. 8am – 10am 10am - 12pm 12pm - 2pm 2pm - 5pm 5pm - 8pm SECOND CHOICE Date Request * MM DD YYYY SECOND CHOICE Time Request * Please check as many as you want. 8am - 10am 10am - 12pm 12pm - 2 pm 2pm - 5pm 5pm - 8pm Notes/Questions/Comments Thank you! Someone will reach out to you shortly to schedule.
