Mobile IV Booking

1

Your Full Name* This field is required.Full Name of Person Booking

First Name

Last Name

2

Mobile Phone Number* This field is required.Used only if we need to reach you regarding your appointment details or location.

Please enter a valid phone number.

3

Will this IV be just for you, or part of a group experience?* This field is required.

Just MeGroup Experience

4

When are you looking to schedule your Mobile Concierge IV service?* This field is required.

ASAP (within the next 1–2 hours)

Any time today

Tomorrow

Flexible — the next available appointment works

5

Do you or anyone in your group have any major medical conditions?* This field is required.

YESNO

6

Do you or anyone in your group have allergies to medications or IV therapy ingredients?* This field is required.

YESNO

7

Is anyone in your group under 18 or over 70 years old?* This field is required.

YESNO

8

Is anyone in your group currently pregnant or breastfeeding?* This field is required.

YESNO

9

Has anyone in your group recently experienced chest pain, fainting, shortness of breath, or a major infection?* This field is required.

YESNO

10

Service Location Address* This field is required.In the FOLLOWING step, please provide your Apartment, Suite, or Unit number if applicable.

11

Apartment/Suite/Unit Number* This field is required.

12

Form Complete ✔

Thank you for completing your Mobile IV Therapy intake form.

You may now schedule your appointment directly online.

Prefer to call, text, or email?
📞 (212) 597-2481
📧 info@forbiddenwell.com

Please note: Mobile appointments include a flat $150 concierge fee per visit, covering travel and on-site coordination.

For group visits, please select your group size from the drop-down menu at the top of the following booking page before selecting services.