Book An Appointment:

    * = Required

    How would you prefer for us to contact you?*

    Text meCall me

    Patient's Name (if different from yourself)

    Has this patient already done their annual "Good Faith Exam" with us?*

    YesNoI'm not sure

    What service(s) are you interested in?
    check all that apply

    IV TherapyNAD+Semaglutide/TirzepatideWeight Loss Packages (4 or 12-week)InjectionsGroup DiscountsI'm not sure

    Does the patient have a history of kidney, heart or blood clotting concerns?*

    YesNo

    If yes, please explain:

    Is there anything else that we should know?



    Request an appointment and a member of our team will be in touch with you as soon as possible!
    If you have a medical emergency, please call 911.
    If you need to reach someone from The Drip immediately:
    phone:
    (602) 341-3511
    email:
    hello@thedripivinfusion.com