Would I benefit from a functional medicine workup?

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Basic information to orient and help understand if a functional medicine consult would be advantageous.

Email *

Is your health something that you would like to prioritize? *

Yes

Maybe

You would prefer a holistic approach to health concerns and chronic disease?

Yes

Maybe

Clear selection

Would you prefer insurance dictate diagnostic testing and treatment or would you be open tailored patient care at cash rates? *

Insurance

Cash

Cash and superbill

Does your primary care physician spend adequate time with you during your visits? *

Yes

Sometimes

Are you taking any medications? If yes, how many and what duration?

Are you confident that you have adequate information to make informed medical and lifestyle modification *

Yes

Maybe

Current health screening ( 1 Strongly agree and 5 disagree) *

You have adequate energy levels

You have family with autoimmune conditions

Certain foods upset your stomach

You are able to maintain a healthy weight

You are familiar with labwork

Blood sugar and heart disease is a concern

Have you experienced hormone imbalances

Continuity of care is important

You have worked with an integrative practitioner

You have frequent allergies, acne and/or skin rashes

Health is an "inside out process"

You have a strong grasp on nutrition

You have adequate energy levels

You have family with autoimmune conditions

Certain foods upset your stomach

You are able to maintain a healthy weight

You are familiar with labwork

Blood sugar and heart disease is a concern

Have you experienced hormone imbalances

Continuity of care is important

You have worked with an integrative practitioner

You have frequent allergies, acne and/or skin rashes

Health is an "inside out process"

You have a strong grasp on nutrition

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