Interested in An Appointment?

To request an appointment fill out our form below.

Appointment Request Form

Visit Type(Required)

In-Office Visit

Telehealth Visit

Are you a new or returning patient?(Required)

New

Returning

Name(Required)

First Last

Email(Required)

Reason For Visit(Required)

Sex (optional)

Male

Female

Other

Phone

Do you agree to receive text messages and follow-up phone calls from Be The Change Health and Wellness Center sent from 301-970-9724?(Required)

Yes, I agree to receive text messages from Be The Change Wellness Center sent from 301-970-9724.

No, I do not want to receive text messages from Be The Change Wellness Center.

By entering your phone number, you agree to receive informational SMS messages (appointment reminders, account notifications, etc.) and follow-up phone calls from us. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at [admin@bethechangewellnesscenter.com]. You can opt out at any time by replying STOP. Our terms and conditions and privacy policy are below.

agree(Required)

I have read and agreed to the Privacy Policy and Terms of Use and I am at least 18 and have the authority to make this appointment

View our Privacy Policy for how we handle your information.