Welcome to Katie Hart's practice

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Step 1: Provide your contact information and select your appointment date & time
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Please confirm that you are in West Virginia or Virginia* This field is required.
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What is the patient's legal first and last name?* This field is required.
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What is the patient's date of birth?* This field is required.
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To order prescriptions, refills, labs, or referrals, we will need your Social Security Number. If you need any of these services, please provide this information.
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What is the best cell phone number to reach you at?* This field is required.
Please enter a valid phone number.
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What is the best email to reach you at?* This field is required.This is the email that we will send the telehealth link to.
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Please provide your address
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What is the reason for your appointment?* This field is required.Select all that apply!
I'm sick!
Preventive visit
New medications
Refill a prescription
I need labs ordered
I need a referral
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What is the preferred pharmacy that you use?Please provide the address of the pharmacy in the event that you need a prescription or a refill.
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Select your service and make payment* This field is required.Other services available at low cost, just ask!
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ORDER SUMMARY
Total costUSD
Office visit - Katie HartIncludes valuation by NP, vital sign check, medicine if needed
$65Edit
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Telehealth visit - Katie HartTelehealth visit with Katie
$65Edit
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Sports Physical - Katie HartIncludes completion of your paperwork
$30Edit
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Panel of the Month with Office Visit - Katie HartIncludes specialty lab testing with functional medicine focus
$295Edit
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Routine labs with Office Visit - Katie HartIncludes CBC, CMP, A1c, TSH/T3/T4, Vit B12, Lipid Panel
$185Edit
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STD Panel with Office Visit - Katie HartIncludes HIV, HSA, RPR, Gonorrhea, Chlamydia
$215Edit
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Lab Culture with Office Visit - Katie Hart 4Examples include urine, throat, and wound lab cultures
$95Edit
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Enter Coupon
Total cost $0.00
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Select your appointment time* This field is required.
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Next, Complete Consent Forms

Please complete the following 4 notices. At the end of the notices, you will be asked to provide your signature.

In order for our nurse practitioner to treat you or make lab or prescription orders, we need to receive the next 4 consents from you.

Complete the following consent forms to receive care from Katherine Hart, referred to as "The Practice and Clinician" in the following
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General Consent* This field is required.
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Terms and Conditions* This field is required.
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Financial Policy & Disclosure* This field is required.
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Terms and Conditions* This field is required.
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Please provide your signature and today's date
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