Hormonal Wellness and Mental Health

Dr. Kimberly Jean, M.D.

+ Board-Certified physician

+ Diplomate in Anti-Aging and Regenerative Medicine (ABAARM)

+ Holistic Reproductive Health Expert

Dr. Kimberly Jean ReVitaJuve Women's Fertility & Wellness

REVITAJUVE Application for NEW Patients and Consultations:

Thanks for stopping by ReVitaJuve Health and Wellness. We are an intimate, highly personalized and specialized medical practice and takes pride in nurturing our relationships with our patients.

Dr. Jean only accepts a limited number of new patients in the practice each month, and these slots fill up quickly. It is not uncommon for there to be a 2-3 month wait for a new patient appointment with her.

Please make sure you have first read the ReVitaJuve Health and Wellness practice fees and policies, then fill out this application for Dr. Jean to review.

You will hear back from our office shortly with next steps. Because of our small size, please know that it can take 24-48 business hours to hear back from the office once your application has been received.

Name *
Name
Address *
Address
Phone *
Phone
Name of referral or friend/family member
Name of referral or friend/family member
How willing are you to make changes in your diet and lifestyle to reach your health goals on a scale of 0-5 (0 being "I'll watch from the sideline, 5 being " What are we waiting for?") *
Would you like to receive our weekly question and answer newsletter "Chemical Romance"? *

Location:

1101 Hamilton Street
Suite #257
Allentown, PA 18101

 

Contact:

phone: (484) 393-5883
email: info@revitajuve.com