Sat/Mon Sports Medicine Walk in Form

Time

Hour Minutes

Date

⏱️ Check-In Temporarily Closed

Thank you for contacting Lexington Integrative Sports Medicine (LISM). Our Saturday/Monday walk-in check-in form is open from Friday at 10:00 AM through Sunday at 11:59 PM.

Right now, check-in is temporarily closed.

If you'd like to check for any urgent same-day openings, please call or text our nurse desk at (859) 374-3529, or email us at care@lismclinic.com.

Thank you for your patience.

Required Practice Eligibility Verification

Thank you for your interest in Lexington Integrative Sports Medicine (LISM). Dr. Sri operates under a private, transparent, cash-pay direct care model, and federal law does not allow us to accept private-pay fees from Medicaid-enrolled individuals for services normally covered by Medicaid. Because of this, we're unable to process your booking at this time. We'd recommend reaching out to your primary care provider or another Medicaid-participating provider for these services. We apologize for any inconvenience, and wish you the best in your care.

Required Practice Eligibility Verification

Thank you for your interest in Lexington Integrative Sports Medicine (LISM).
Dr. Sri is currently in the formal process of officially opting out of Federal Medicare, with an anticipated effective date of October 1, 2026. Under CMS guidelines, until this opt-out is officially in effect, we are strictly prohibited from evaluating or treating Medicare beneficiaries under any cash-pay bundle or membership track.
We apologize for any inconvenience this causes.

Would you like us to contact you after October 1st, once Dr. Sri is officially opted out of Medicare?

Thank you so much for your interest in Lexington Integrative Sports Medicine — we wish you all the best in your care. You're always welcome to check back with us again in the future.

Before we get started:

If you feel your injury needs urgent, immediate attention, please go to your nearest urgent care or emergency room now rather than continuing with this form. Trust your judgment — you know your body best.

If it's safe to wait, let's go ahead and get you scheduled.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Did this sports or orthopedic injury occur within the last 72 hours?

Thank you for contacting Lexington Integrative Sports Medicine (LISM).

Our morning walk-in slots are reserved for athletes and active individuals with a new sports or orthopedic injury within the last 72 hours.

If you meant to select "Yes," just go back and change your answer, and the form will continue as normal.

We keep these slots protected so we can see freshly injured patients quickly, without a long wait. Using a walk-in slot for an older injury would take that fast access away from someone who needs it right now.

If your injury is still fresh, please go back and update your answer to continue with this form.

If your injury is a bit older (up to 2 weeks), please use our Acute Injury Consultation form instead:

👉 Acute Injury Consultation Form

If this is a chronic issue that's been ongoing for more than 2–3 weeks, please use our:

👉 Comprehensive Integrative/Sports Medicine Consultation Form

This is a 40-minute visit that allows Dr. Sri to take a deeper look, including reviewing any imaging and building a full recovery plan.

Thank you for understanding — this helps us make sure every athlete gets seen as quickly as they need to be.

Age

Required Acknowledgment: LISM Direct-Care (Youth) Pricing:

I understand that Lexington Integrative Sports Medicine (LISM) is a direct, transparent, cash-pay practice with no insurance middleman. I acknowledge and agree that my Acute Injury Recovery Bundle fee is a flat $150. This includes a focused initial assessment with a fellowship-trained sports medicine physician, one complimentary follow-up check-in to safely guide your recovery, and up to 6 weeks of secure messaging access to Dr. Sri and his nurse co-pilot via the Spruce app. It also includes referral coordination with local physical therapists or imaging centers if advanced diagnostics are needed.

Required Acknowledgment: LISM Direct-Care (Adults) Pricing:

I understand that Lexington Integrative Sports Medicine (LISM) is a direct, transparent, cash-pay practice with no insurance middleman. I acknowledge and agree that my Acute Injury Recovery Bundle fee is a flat $225. This includes a focused initial assessment with a fellowship-trained sports medicine physician, one complimentary follow-up check-in to safely guide your recovery, and up to 6 weeks of secure messaging access to Dr. Sri and his nurse co-pilot via the Spruce app. It also includes referral coordination with local physical therapists or imaging centers if advanced diagnostics are needed.

Affected Joint Area

What Happened? "In 1–2 brief sentences, please tell us how and when the injury occurred."

Saturday Walk-In Pricing Acknowledgment

I understand that Saturday walk-in visits include an additional convenience fee, as outlined below:

`Option`	`Base Fee`	`Convenience Fee`	`Total`
`Walk-In Bundle (Ages 10–25)`	`$150`	`$75`	`$225`
`Walk-In Bundle (Ages 26+)`	`$225`	`$100`	`$325`
`Telehealth Evaluation`	`$75`	`$50`	`$125`

If your injury can wait, you're welcome to reserve a Monday walk-in slot instead at our standard rate, with no convenience fee.

If you complete a Saturday Telehealth visit and come in for an in-person follow-up within 1 week of that visit, the $75 consultation fee will be credited toward your in-person visit.

Appointment

Did you find a morning appointment slot above that works for you?

Which day slot did you select?

Since you selected a Saturday walk-in slot, would you prefer an in-person visit or a Telehealth evaluation?

Since tomorrow's morning slots are full, would you like to join our Standby Waitlist? If a spot opens up, we'll text you right away so you can grab it quickly.

No problem — a same-day cancellation isn't guaranteed, so we understand wanting something more certain instead of waiting on a maybe.

Since you're dealing with a fresh injury, we still want to get you seen as soon as possible. Please fill out our Acute Injury Consultation form — you'll share the days and times that work best for you, and our nurse co-pilot will call you to lock in a visit as soon as we can.

Next Step: Click the secure form here 👉 Acute Injury Consultation Form

Please read our mandatory clinic policies before submitting to officially lock your slot:

The 20-Minute Pre-Arrival Rule (Applies only for inperson visit): Because Dr. Sri runs an unhurried, private direct-care clinic without insurance-related delays, our morning blocks run on precise timing. Please arrive 20 minutes before your appointment so our nurse co-pilot can finish setting up your chart.
The Standby List Contract: We don't overbook our calendar — your slot is reserved exclusively for you. Because we keep an active standby list of freshly injured patients hoping for a quicker evaluation, a missed appointment means someone else in pain has to wait longer for care.
Our Cancellation Courtesy Request: If something comes up and you can't make it, just text "cancel" to (859) 374-3529 as soon as you know. This lets us offer your slot to someone else who needs it.

Thank you for honoring our clinic policies

Consent

Don't Miss This

Sports Medicine Walk in Appointment Form