Tell us a bit about yourself and the care you’re looking for. We’ll connect you with the right licensed provider.

First Name *

Last Name *

Date of birth *

Phone *

Email *

Postal code *

Type of Service You Need *

Preferred Date *

Preferred Time *

Meeting Type

Current Health Insurance Provider

Is there anything you’d like your provider to know before your visit?

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Patient Services

Physician Services

WellClub™ is a marketing & referral service connecting patients with independent licensed healthcare providers. We do not provide medical services directly.