Front Desk Staff

Let’s get started

Let’s find out if we’re a great fit for each other…

Please fill out your information and we’ll be happy to see how we can best serve you. When submitting this form you will be taken to the strategy scheduling page. If we decide to partner together, our clinical staff will be using the information on this form to get you started. Please answer the questions as completely as possible. We look forward to working with you!

Next Steps
Do you consider yourself coachable/teachable? *
Do you have someone in your life who will encourage, help, and support you to achieve your health goals? *
Who else have you worked with? *
Have you ever paid for clinical expertise on your own? (Functional medicine, nutritional counseling, etc.) *
Are you willing to do what's necessary to boost your health? (This may include functional laboratory testing, nutrition and specialized dietary changes) *
If we can offer a solution to meet your health needs, are you capable of investing a minimum of $1,997? *

What Our Patients Say

(We’ll put social proof, video & written testimonials here)