Prospect form | Hello Health, Wellness and Hormones

What are your top areas of Concern? (Check all that apply)

What are your biggest obstacles to achieving your health goals? (Check all that apply)

What are you looking for most in a health care provider? (Check all that apply)

Listens to me

Looks at the big picture

Collaborates with me to help me make the best decisions for my circumstances

Looks for the root cause of my medical problems, instead of just addressing my symptoms

I understand that Hello Health Wellness and Hormones is not contracted with any health insurance companies. Required

Yes

I understand that Hello Health Wellness and Hormones requires a credit card on file. Cancellations within 24 hours of appointement will result in a cancellation fee. Required

Yes

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