Functional Medicine Consultation
Please select a time to schedule your appointment with Dr. Bailey Bolinske, PharmD, CFMP. Appointments are available at Dripping Springs Pharmacy at 100 Commons Road #1 Dripping Springs, TX 78620 and at Lamar Plaza Drug Store at 1509 S Lamar Blvd #550 Austin, TX 78704. Appointment deposits are non-refundable.
Please select which pharmacy location you'd like to make an appointment at:
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Dripping Springs Pharmacy
Lamar Plaza Drug Store
Appointment Type
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Nutritional consultation
Hormone Replacement Therapy consultation
Other
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Dripping Springs Pharmacy
Please select a time to schedule your consultation. Appointments are at Dripping Springs Pharmacy at 100 Commons Road #1 Dripping Springs, TX 78620.
Dripping Springs Pharmacy Appointment
*
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Lamar Plaza Drug Store
Please select a time to schedule your consultation. Appointments are at Lamar Plaza Drug Store at 1509 S Lamar Blvd #550 Austin, TX 78704.
Lamar Plaza Drug Store Appointment
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Patient Demographics
Name
*
First Name
Last Name
Address
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Street Address
County
City
State
Zip Code
Date of Birth
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Email
*
example@example.com
Phone Number
*
Sex
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Male
Female
Other
A separate patient intake form must be completed at least 72 hours prior to your appointment. After booking your appointment, you will be automatically redirected to the patient intake form. If you need to complete it at a later time, a URL link will be provided to you in your appointment confirmation email. By initialing below, you agree to complete the intake form at least 72 hours prior to your appointment:
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Payment and Authorization
Payment
*
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( X )
Functional Medicine Consultation Deposit
$
120.00
Enter coupon
Apply
Total
$
0.00
Credit Card
Submit
Should be Empty: