Dr. Tony Telehealth Patient Questionnaire
Please fill out this preliminary questionnaire regarding your request for an initial consultation via Telehealth with Dr. Tony. Once this is complete, our office will contact you to get you scheduled for a phone appointment. Thank you.
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Email *
Full Name
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Phone Number
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Who were you referred by?
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Describe how committed you are to changing your health
Have you ever had muscle testing performed on you?
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Being healthy is not a destination, rather a journey.
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Nutrition programs with us are typically 6 to 9 months, in order to reach optimum health. Are you willing and able to commit to a minimum of six months to improving your health?
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If you answered unsure in the above question... what is holding you back?
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