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Application to work with Megan Kroeker
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Email
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Name
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Age
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Email address
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Phone number
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How old are you?
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Are you an Ontario resident with OHIP coverage?
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No
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Please tell me about your current health issues and what your goals
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Have you had any investigations/tests for your current health concerns?
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Have you tried any treatments or remedies in the past for your current health concerns?
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On a scale of 1-10, How committed are you to making changes to achieve your goals (ie. following a lifestyle, diet, or supplement protocol)
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10
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Do you foresee any barriers to your success?
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Are you seeking a functional medicine approach? Using this approach we look for the root and treat the root cause of the symptoms you are experiencing, rather than using a medication or “bandaid” to cover the symptoms (yes or no)
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No
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What type of service are you interested in?
Quick Call to see if we are a good fit
60 minute initial visit with option to follow up
Testing only (ie. GI Map, DUTCH test, blood work)
Testing + ongoing support + accoountability
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How did you hear about my services?
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Is there anything else you'd like to share?
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If you're interested, please visit my booking link to get started with a 15 minute discovery call! https://megankroekerfunctionalnp.practicebetter.io/#/65cabb31da2b26c5b735c455/bookings
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