Medical Intake Form
Schedule Your Free
Consultation
All information is kept strictly confidential and reviewed personally by Dr. Sosa.
Thank you — we've received your intake.
Dr. Sosa's team will personally review your case and reach out within 24–48 hours to schedule your free consultation. Please check your inbox and spam folder for a confirmation.
Contact Information
Toll-Free
Email
Response Time
Within 24–48 hours.
Dr. Sosa personally reviews every case.
Dr. Sosa personally reviews every case.
What to Expect
- A free, no-obligation medical review of your case
- Dr. Sosa personally reviews your diagnosis and history
- Determination of candidacy for the 4-Week Program
- All information kept strictly confidential
