Membership Form Profile and Payment InformationName(Required) First Last Email(Required) PhoneAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Which membership are you interested in purchasing?(Required) 6 Month Membership (VIP IV) - $139/month 6 Month Membership (Premium IV) - $129/month 1 Year Membership (Premium IV) - $119/month 1 Year Membership (VIP IV) - $129/month 5 Just IV Fluid Package - $545 5 Premium IV Package - $595 5 VIP IV Package - $695 B12/Skinny Shot Combo (In office) - $200 Buy 4 Injections Get the 5th Free (in office) - $100Please view membership details and service areas before making a selection.CAPTCHA Oklahoma City Metro Clinic800 W 18th St. Ste.140Edmond, Oklahoma 73013TulsaMobile Appointments OnlyPhone(405) 696-7003Email[email protected] (405) 696-7003800 W 18th St. Ste.140 Edmond, Oklahoma 73013[email protected]9am - 7pmOKC Mobile HoursJoin Our Email ListEmail(Required) NameThis field is for validation purposes and should be left unchanged.