POTs Consultation Request Form

Please provide us with the following information to schedule a free consultation with the POTS Treatment Center. After submitting the form, you will receive a call or email from us within 24 hours to set up your consultation appointment. We recommend responding promptly as slots are limited and fill up quickly.

If your guardian or spouse will be involved in the decision-making process for the POTS program, please ensure they are present during the call. During the approximately 30-minute phone consultation, our program coordinator will discuss the treatment options and answer any questions related to POTS.