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Come work with me

Birthday
Month
Day
Year
How long have you been experiencing these issues?
Which best describes what you are looking for right now?
Are you open to: (check all that apply)
My services are private pay and range from $175–$1,800+. Are you prepared to invest in your care at this level?
Will you require a Superbill for your insurance?
Which program(s) are you most interested in?
Are you currently in a medical crisis or needing immediate medical care?
Yes
No
Do you have any of the following?
By submitting this form, I understand that: • This form does not guarantee an immediate slot into care • If accepted, I will receive a payment and scheduling link • Insurance is not directly billed • Labs and supplements are separate from program fees
Agree
Don't Agree
Important Notice The services, recommendations, and educational materials provided by Nurturing Remedies are intended for educational and informational purposes only and are not intended to diagnose, treat, cure, or prevent an disease or medical condition
I have read and understand the above notice.
Any nutritional, herbal, or dietary supplement recommendations are offered to support general wellness and have not necessarily been evaluated by the Food and Drug Administration. Individual results vary, and no specific outcomes are guaranteed.
I have read and understand the above notice.
Clients are encouraged to consult with their primary care provider or other qualified healthcare professional before making changes to diet, supplements, medications, or lifestyle, especially if pregnant, nursing, or managing a medical condition.
I have read and understand the above notice.
By submitting this form, you acknowledge that you are voluntarily participating and accept responsibility for your health decisions.
I have read and understand the above notice.
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