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New Client Inquiry Form
Welcome to your pre-booking intake form! This form helps us understand your unique health and wellness needs, so we can tailor our work together to best suit your goals. Please take your time to answer the following questions as honestly and thoughtfully as possible. If you prefer to talk through any of the questions, you can book a FREE discovery call with
ERIN
or
TIANA
instead of completing this form, or we’d be happy to discuss them with you during your first session.
General Information
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Prefered Method of Contact
*
Email
Phone Call
Text Message
Current Age
*
Please list your TOP 3 current health concerns
*
When do you hope to being working together?
*
ASAP
1-3 months
3-6 months
Undecided
What do you hope to gain by working together?
*
Is there anything else you want me to know?
*
My Philosophy & Next Steps
I believe that true healing begins with addressing the body’s foundational processes. Every individual is unique, which is why I take a highly personalized approach, creating protocols tailored to your specific needs, goals, and symptoms. To avoid wasting your time or money, I focus on targeted, evidence-based recommendations informed by comprehensive intake questionnaires and, when appropriate, advanced testing. This may include options such as the GI-MAP, comprehensive blood panels, MRT food sensitivity testing, and more, depending on your unique profile.
Once you submit this form, I will personally review your information and follow-up with details on the intake process and available options within 48 hours. From there, you have the option to move toward a 90-minute initial evaluation, where we’ll dive deeper into your health history, symptoms, goals, and begin building a customized plan.
Healing is a journey, and I am committed to walking alongside you every step of the way. My goal is to be your partner—helping you navigate the process with clarity, compassion, and expertise.
I look forward to connecting with you and supporting your path to vibrant health.
Erin
Submit
HOME
About Us
Work with Us
1-to-1 Coaching
>
Lab Testing
Group Programs
>
WOW Membership
Your Real Food Rx
Metabolic Makeover
Programs for Gym Owners
Client Log-In
Blog
Contact Us