Patient Evaluation & Intake Share Tweet Pin Share Interested in pursuing treatment with one of APN’s affiliate providers? Please complete the form below to pay the consultation fee required to begin the patient evaluation process. The consultation fee includes a review of your medical records to determine the best treatment option for you, based on your medical history. If you require further assistance with a payment originating from outside of the U.S., call 901-235-2011 or email info@americanphysiciansnetwork.org. Choose Consultation Option * Standard - $ 125.00 Expedited - $ 475.00 Total Amount Your Information First Name * Last Name * Email Address Review your contribution Share Tweet Pin Share