Start Your Weight Loss Journey

Book Your Virtual Appointment - only $49.95

Schedule your same day virtual appointment for personalized weight loss help. Once you fill out the form someone from Kellum Family Medicine will reach out to you to process the visit.
(Same day appointment is subject to availability during normal working M-F 9am-4:30pm hours)

By submitting this form, you consent to be contacted by Kellum Family Medicine for marketing and informational purposes. This form is not intended for sharing personal health information. Please do not include sensitive medical details. If you become a patient, your information will be protected under HIPAA
Name Date of Birth Phone Number E-mail Address City Zip Code When would you like to schedule an appointment? I agree to the below Terms & Conditions and Privacy Policy Submit
Terms & Conditions and Privacy Policy

By submitting this form, you consent to be contacted by [Clinic Name] for marketing and informational purposes. This form is not intended for sharing personal health information. Please do not include sensitive medical details. If you become a patient, your information will be protected under HIPAA.

Kellum Family Medicine respects your privacy. The information you submit via this website (such as name, email address, and phone number) is used solely for marketing and communication purposes. This data is not considered Protected Health Information (PHI) under HIPAA unless you become a patient or disclose health-related information during your interaction with us. Once you become a patient, your data is handled according to HIPAA regulations.