By application only · [X] new patients welcomed each season
[City] · Virtual in [States] SELAH Concierge Women's Health
Request an Appointment
ImageA welcoming, hopeful image of your ideal patient

Request an appointment

Your care begins with a conversation.

[Prompt: Why you ask new patients to apply. Make it feel like an invitation, not a gate: you keep your practice small so every woman gets your full attention. 2 sentences.]

[5 min]To complete
[2 days]Personal reply
[Free]Discovery call
Start My Application

Is this the right fit?

We may be perfect together if

A beautiful fit if you

  • [Want a long-term partner in your health, not a quick fix]
  • [Are ready to invest time and resources in yourself]
  • [Value prevention as much as treatment]
  • [Want to understand the why behind your symptoms]

Perhaps not the right fit if you

  • [Need urgent or emergency care]
  • [Prefer to use insurance for every visit]
  • [Are looking for a single prescription refill]
  • [Live outside the states we're licensed in]
01

Apply below

[Share a little about you and your goals.]

02

We review personally

[Who reads it and how quickly you'll hear back.]

03

Discovery call

[A complimentary call to answer questions and confirm fit.]

04

Welcome to care

[Onboarding, intake forms and your first visit.]

New patient application

Tell us about you.

[Prompt: One reassuring line, e.g. This takes about three minutes, and there are no wrong answers.]

I. About you
II. What you're looking for

Which service are you most interested in?

What matters most to you in a provider? Select all that apply

Please keep medical details off this form. We'll talk through your health history privately on your discovery call. [Edit to match your process.]

III. Your care preferences
IV. Investment & next steps

[Prompt: A transparent note on your payment model, e.g. Our care is private pay and is not billed to insurance. Memberships begin at $X per month.]

Before you apply

A few gentle answers

Still have questions?

Is there a cost to apply?

[Applying and the discovery call are complimentary.]

What if I'm not accepted?

Is there a waitlist?

Do I need my medical records?