Request a Consult Please complete this form for each patient that is requesting a consultation for services with the James Clinic. Patient First Name* Patient Last Name* Patient Date of Birth* Email* Phone Number* Pharmacy Phone Number Street Address* City* Postal Code* State/Region* Please choose a Service: COVID Care Services Prevention Consult $290Acutely III (<7 days) $490Acutely III Severe $1490Long Haul COVID $2390Second Opinion Hospitalized Patients $390 Message Sign me up for the newsletter!