Request an In-Home Concierge Service
Please complete this form to schedule your in-home COVID-19 Testing, I.V. Infusion Therapy or Monoclonal Antibody Treatment. If you are interested in same-day service, please call 833-MODMD-99.
Name
*
First Name
Last Name
Email
*
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Appointment Request: 1st Choice
*
Appointment Request: 2nd Choice (if 1st choice isn't available)
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number to call on arrival
*
Any special parking or entry instructions?
Back
Next
My Products
prev
next
( X )
In-Home I.V. Infusion - NAD Therapy
NAD, B12, B Complex, Vitamin C, Glutathione
$
999.00
In-Home I.V. Infusion - Hydration
IV Fluids, Electrolytes
$
249.00
In-Home I.V. Infusion - COVID Symptoms
IV Fluids, Electrolytes, B Complex, Vitamin C, Zofran, Toradol
$
299.00
In-Home I.V. Infusion - Migraine
IV fluids, electrolytes, anti nausea medications, anti inflammatory pain medication
$
299.00
In-Home I.V. Infusion - Immunity
IV fluids, electrolytes, B complex vitamins, B12, Vitamin C
$
299.00
In-Home I.V. Infusion - Hangover
IV fluids, electrolytes, toradol, zofran
$
299.00
In-Home I.V. Infusion - Stomach Flu / Food Borne Illness
IV fluids, Electrolytes, Pepcid, Zofran, Vitamins (B Complex, B12 and C)
$
299.00
In-Home I.V. Infusion - Myers Cocktail
IV fluids, B-Complex Vitamins, Vitamin B12, Vitamin C, Magnesium, Calcium
$
299.00
In-Home I.V. Infusion - Jet Lag
IV fluids, electrolytes, Vitamin B12, B Complex, Magnesium, Toradol (as needed)
$
299.00
In-Home I.V. Infusion - Energy Boost
Vitamin C, Vitamin B12, B Complex, Taurine
$
299.00
In-Home I.V. Add-On - Antioxidant
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
99.00
In-Home I.V. Add-On - Anti-Nausea
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
49.00
In-Home I.V. Add-On - Vitamin B12
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
35.00
In-Home I.V. Add-On - Vitamin C
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
35.00
In-Home I.V. Add-On - Magnesium
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
30.00
In-Home I.V. Add-On - Vitamin B-Complex
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
40.00
In-Home I.V. Add-On - Glutathione
Please note that this item can only be purchased as an add-on to one of the I.V. Infusion Treatments above.
$
100.00
COVID Testing - Lab PCR (same day results)
$
249.00
COVID Testing - Lab PCR (same day results) with Insurance
Includes Concierge Fee
$
125.00
COVID Testing - Rapid Molecular PCR (results in 1-2 hours)
$
349.00
COVID Testing- Rapid Antigen (results in 15 minutes)
$
249.00
Strep Testing - Rapid Strep Test (results in 15 minutes)
$
269.00
Flu Testing - Rapid Flu Test (results in 15 minutes)
$
269.00
Urinalysis - Dip and Treat
Screens for Infection, Ketones, Glucose
$
269.00
Flu Vaccine
$
249.00
In-Home Hyperemesis
$
Free
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: