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Do you see patients that you know you can help, but you don't yet have the knowledge yet?
Do you still have gaps in your understanding and integration of functional medicine? We can help with a practice analysis phone call. . This form is a guide for us to help us learn where there may be GAPS in your functional medicine education. It will help us prepare for your practice analysis phone call. Thank you for your interest in improving patient outcome by getting more education in functional medicine
Practice Analysis Questionnaire
Name: [First & Last]
How did you hear about us?
Are you presently a practitioner who is actively working with patients / clients on their health? If so, briefly describe your style of work (if not, skip down to section II):
On average, how many patients / clients do you see per week?
Describe your fee structure for sessions:
Do you work?
In-person and via phone / video
Phone / video only
Do you sell herbs / supplements / health products? If so, do you stock them in-office?
Do you offer packages, group sessions, educational programs, movement classes, or other offerings? If so, please describe:
What are your license(s) / certification(s)?
Are you currently ordering functional medicine labs?
Please check what functional labs you currently order:
Advanced Intestinal Barrier Assessment
Organophosphates and Toxic Metabolites
Advanced Thyroid Panels
Are you looking to add additional labs to your practice?
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