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Welcome! Please clue me in a little before our time tigether: 

1. Here are some questions that you can answer below that can expedite the process:

a. How do you hope to have help? 

b. What are your needs right now? 

c. What has been helpful, what has not? 

2. What are your over-all concerns or challenges? 


Name*

Email Address*

Message*

Phone*

If You already Know You Want To Get Started...

1. Take the Symptom Survey Form by setting up a free and secure account and complete the symptoms. 

2. Select a time to review the Symptom Survey Report of Findings via phone, video call or in-person: 

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