Intake Forms
Be sure to select the correct form based on the type of care you are looking for​
Standard Intake
Holistic Intake Form - Functional Medicine
Holistic Intake Form - Functional Medicine
Includes a Report of Findings (recommendations)
1 hr session
Your choice of either biofeedback scan or and a separate session/phone consult included
Urine sample may be required
In-office visit or distance friendly
Apply for Custom Care
Apply for Custom Care
Long Distance Program or Family Plans
Long Distance Program or Family Plans
Schedule an appointment to discuss what we can offer you based on your needs.
1 hr sessions
Chinese evaluations
Symptoms Surveys
In-office or distance friendly
Added Services
Added Services
Heart Graph, Biofeedback, Reflexology, etc.
Heart Graph, Biofeedback, Reflexology, etc.
Get started for just $65
We offer a variety of stand alone therapies for your choosing
1 hr session