Raider Rehab
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Schedule An Appointment

"*" indicates required fields

1Pick A Package
2Age Verification
3Patient Information
4Pick An Appointment Time
IV Packages*
Please select your desired IV package from the list below.
Would you like to add additional items to your IV package?
You may select one or more. The Raider Rehab team will let you know if any changes should be made based on your selections. These items are optional.
Is the individual receiving the IV service at least 18 years of age?*

Unfortunately, we are only able to provide mobile IV services to individuals that are at least 18 years of age. We apologize for any inconvenience.

Legal Name*
Please provide your name as it appears on your government issued photo identification.
Address*
Where Should Your Mobile IV Service Be Performed?*
Street Address For IV Service*
Medical History*
Please check the appropriate conditions based on your current medical history.
If you have a note or special request regarding your IV package that you would like to pass along to the Raider Rehab Team, please let us know!
Please use our calendar to find instant availability for your appointment. Then, click on Schedule Appointment.

Your selected appointment time will be automatically released after 10 minutes until you click on Schedule My Appointment.
This field is for validation purposes and should be left unchanged.
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