Application for 1-on-1 Wellness With Hashimotos Coaching Program
Thank you for your interest in my 1-on-1 Wellness With Hashimoto's Coaching Program. Tell me a bit more about you below. 

I will reach out to you within 48 hours via email (so make sure you enter email correctly) so we can connect and make sure we are a good fit! Be sure to check spam/junk email folders! Email will be from rachael@wellnesshashimotos.com

Pricing information and what to expect with this coaching program is in the "What To Expect" section below.

Virtual appointments only. Thank you!

Rachael Webster
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E-Mail-Adresse *
WHAT TO EXPECT:
This application is for those who are interested in joining my 4 month 1-on-1 Wellness With Hashimotos Coaching program. This program is based upon what YOUR body needs to rebalance and get rid of those pesky symptoms.

This is for the person who is FED UP with being told they are "healthy" despite feeling unwell, exhausted, and not themselves. This program will help you discover the root causes as to why you do not feel your best and design a specific plan created just for YOU!

Expectations:

- The Wellness With Hashimotos Coaching Program is a 4 month 1-on-1 coaching package. Included in the package is a series of 1-on-1 zoom calls where we work to understand your body's needs through root cause testing, your symptoms, and health history so that you can gain control of your Hashimotos. You will receive a personalized protocol after each zoom call uploaded to your client portal that you have access to download and/or print. You also have access to me in between appointments through email or chat in your client portal. 


The breakdown of 4 month 1-on-1 Wellness With Hashimotos Coaching with Rachael:

4-month 1:1 Wellness With Hashimotos Coaching. This includes full functional blood work, Hair tissue mineral analysis, personalized 1:1 coaching and support including four 1:1 coaching appointments (1 Health history review, 1 lab result review appointment, 2 follow up coaching appointments). There is also an option to add-on other functional labs (Stool test, Dutch hormone, Organic acids, Bioenergetic testing, etc) for an additional cost to you. Following each appointment, you will receive a protocol summary after each appt with small simple steps to start implementing in your life to help rebalance your body. Any recommended supplements are NOT included in the coaching program price but are highly recommended to help move your results forward.

Pricing - $1950 or $487.50/month for 4 months

- As mentioned, you can add-on additional testing: Functional lab tests and bioenergetic health scans that I will invoice you the cost of once you pick the ones you want. These can range from $200 to $500 depending on the test (you will be given a breakdown of each scan/test of what they are and the prices when you enroll in the coaching program). These can be added on any time during our work together and don't have to be all done at the same time.

- Supplements are necessary; they each have their specific role in your personalized program; expect around $200-400 dollars worth of supplements each month.

*Functional lab testing or blood work is not available in New York, New Jersey, or Rhode Island (Bioenergetic and Hair tissue mineral tests are okay)

You will be notified by email, within 48 hours, a link to schedule an enrollment call where we can chat and see if we are a good fit and you can ask any questions you may have. If you decide to sign up, you will schedule your first appointment and be sent intake forms that you need to fill out prior to our first appointment. Please fill these out at least 48 hours prior to your appointment. This allows me adequate time to prepare your first personalized protocol.

**In this coaching program, I do not diagnose, treat, or cure disease. We look for imbalances, toxicities, and deficiencies that may be contributing to your symptoms and help support the body naturally to rebalance and heal itself**

Thank you for your interest in this program!

By filling out this form you understand what to expect with this coaching program and the costs associated with it. 

I am excited to chat with you soon!


Rachael Webster
Name *
Instagram Handle if you have one: I love connecting with you & following along your health journey!
Date of Birth *
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Are you located in the U.S. or have a U.S. shipping address? *
Where are you located? *
What lead you to want to join my coaching program? *
Are you ready to commit to yourself and this coaching program for 6  months? *
Have you worked with an Integrative Health Practitioner before? *
If you HAVE worked with one before: why are you wanting to work with me or why do you think it didn't work in the past?
What are your current symptoms, health challenges or concerns? *
How are you currently trying to remedy those challenges or concerns? *
Which of the following have you worked with in the past or are you currently working with? *
Pflichtfrage
What have you already tried to address your main health concern(s)? *
Are you currently taking any medications or supplements? If yes, please list below with as much detail as you can: Example: Daily Probiotic Support - Equilife *
Are you currently Pregnant, breastfeeding or TTC? *
Pflichtfrage
Have you done any lab testing with your current provider? *
Pflichtfrage
What are your main goals you hope to accomplish from this program? *
How ready are you to invest your time, heart, energy, faith, and finances into healing? *
I think I am ready
100% ALL IN!!
If you could snap your fingers and make these 3 things happen, what would they be? *
Anything else you would like me to know?
I have read and understand the "What To Expect" section for the Hashimotos Wellness Coaching program. *
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