hdyralIVe Therapy uses onsite, registered nurses to provide an assessment that is electronically submitted to our physician through our secured server. Once the physician receives your assessment, he/she will conduct a secure, video telemedicine consultation with you to determine if our treatments are right for you. While this process ensures you receive the highest levels of patient care at hdyralIVe Therapy , it does take a little longer than our standard 45-60 minute appointments. Please be aware you initial visit can take up to one and one half hours.