Schedule Appointment

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First Name *

Last Name *

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
40 One-Hour Sessions		$6,400.00
Total: $6,400.00	Coupon:

I understand that once I use part of my package, I may only receive refund less the full price of sessions that have already been used.

I understand that this is a medical procedure that requires a doctor's prescription. I will provide a prescription from my doctor or I will book an initial evaluation with a provider from Hill Country HBOT for no additional charge.