Master Your Cycle to Get Pregnant BRONZE Program Application Form
I am honoured that you are considering working with me at this point on your fertility journey.

I help women and couples optimize fertility and prepare for pregnancy so that you can experience the joy of starting or continuing to grow your family. 

THE BRONZE PROGRAM is best suited for any of the following cases:
  • Who are looking to prepare for natural pregnancy in the next 3-9 months
  • Who have been trying without success for at least 6 months
  • Have been diagnosed with unexplained infertility
  • Struggle with reproductive issues such as endometriosis, PCOS, fibroids, etc
  • Suffered from recurrent pregnancy loss
  • Looking for extra support to prepare for fertility treatment 
  • Looking for extra support to heal the body for natural pregnancy
I am so passionate about the work I do and commit a lot of time and energy to my private clients. It's important for us to feel aligned so that you can get the most out of our time together.

This application will help us understand if we'd be a good fit to work together. Please complete to the best of your ability.

I look forward to connecting with you!

xo
Nora
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Email *
Name *
When are you thinking about getting pregnant? *
Required
Tell me about your journey so far? (how long have you been TTC, are you on this journey with a partner or a single mother by choice, have you had previous fertility treatments, have you been diagnosed with PCOS, endometriosis etc?) *
The BRONZE package does not come with additional hormone and gut functional lab tests. If you are looking for additional lab testing check out the GOLD package, as they are built into the program pricing and package. 

If you already have functional lab tests from the last 3-6 months, I will request them for analysis during your intake. 

If you are unsure if these additional tests are needed, we can discuss this in your intake appointment. Do you want additional functional lab testing done?
 *
What area of health are you looking to improve? *
What area of health do you feel you are on top of? *
What made you decide to apply for this program? *
This is a high touch personalized program.   It's an investment of 3 monthly payments of $375 or $997 paid in full.  Are you ready to make an investment? (prices in USD) *
This program package is only offered 3 times per year (March, June and September) with a limited number of spots available, do you want me to add you to the waitlist?  *
Any other relevant information you want to share? *
I look forward to connecting with you!
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