Thank you for your interest in my practice.

Please answer the following questions with 100% honesty so that I can learn more about you. Once I’ve reviewed your application my assistant will reach out to you with the next step, if I determine that you are a good fit for my practice. Please know that while I would love to work with everyone, it is simply not possible. I must limit my practice to only those who are fully committed to restoring their health.

Questionnaire


Your diet:
Your activity level:
Stress reduction: