Telehealth Intake Form

Experience Personalized Wellness with Telehealth

Telehealth allows you to connect with a functional health practitioner from the comfort of your home, providing a deeper understanding of your overall well-being. Unlike traditional healthcare, functional medicine takes a comprehensive approach—identifying root causes rather than just managing symptoms.

At Momentum Nutra, we offer a seamless, one-stop-shop experience where you can receive expert guidance on nutrition, lifestyle, and personalized supplement recommendations tailored to your unique health needs. There’s absolutely no obligation, and we respect your privacy—no spam, no telemarketing calls.

 

Disclaimer

As partners with PhytogenixRX, your health, privacy, and trust are our top priorities. Our HIPAA-compliant telehealth services provide a secure and confidential way to connect with licensed healthcare professionals who are dedicated to supporting your wellness journey.

Your Privacy is Protected

We take your privacy seriously. All personal and medical information shared through our platform is securely stored within our clinic and will never be shared with third parties without your consent, except as required by law. You can feel confident knowing that your health information remains protected within our care.

Establishing a Provider-Patient Relationship

By using our services, you are engaging with healthcare professionals who are here to provide personalized medical guidance tailored to your needs. We are committed to helping you take charge of your health with expert advice and compassionate care.

Secure & Confidential Communication

We use encrypted technology to protect your information during online consultations. While we take every precaution to safeguard your data, please be aware that no online platform is entirely risk-free. By using our telehealth services, you acknowledge and accept the inherent risks of digital communication.

For Emergencies

Our services are designed to support your ongoing health, but they are not intended for emergency situations. If you are experiencing a medical emergency, please call 911 or seek immediate medical attention.

By using this website, you agree to the terms outlined in this disclaimer. If you have any questions or concerns about your privacy, we encourage you to reach out—we’re here for you.