
Why Work With Us
CLT WELLNESS SERVICES
Competitive Advantages
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Multi-state licensure
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Women’s health specialization
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Fast turnaround time
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Easy scheduling
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EMR-integrated telehealth
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Boutique, private-care feel
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No insurance → no delays
Operations
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Hours: Flexible / evenings & weekends available
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Online booking
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Automated intake forms
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EMR with ePrescribing
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Compounding pharmacy options for hormone care
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Daily message checks + scheduled visit blocks

TELEHEALTH CONSENT FORM
(You can drop this into your EMR as a required patient form)
I understand that telehealth involves the use of electronic communications for medical
evaluation and treatment. I consent to receive healthcare services via telehealth through CLT
Wellness Services LLC. I understand:
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I may decline telehealth at any time.
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My provider will maintain confidentiality per HIPAA.
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Telehealth may not replace in-person care in all cases.
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Prescriptions will be provided when medically appropriate.
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I must be physically located in a state where my provider is licensed.
By signing, I acknowledge that I understand and agree to this consent.



Schedule Your Telehealth Visit

If you have questions, need assistance, or would like to book a session, please use the form below. I will respond as soon as I can.
For your privacy, do not include personal health information. Established patients should communicate through the secure patient portal.




