Functional Lab Testing Mini Package
Hi! I'm so happy you are here & for the possibility for us to work together so you can have a heathy, feel-good journey to confidently grow a healthy baby & feel good in your body!

This functional lab testing mini package is great for those that are struggling to get to the bottom of what is going on and continue to hear things all look good when you just know they aren't. 

What's included in these packages:
- Health History Questionnaire
- 3 day Food Recall
- Functional Lab Test(s)
Functional Lab Review and Assessment — Video Recorded Lab Results
- Personalized Protocol with recommendations for diet, lifestyle, and supplement changes

Talk soon!
Xo, Haley!
Sign in to Google to save your progress. Learn more
First & Last Name *
Email Address *
Phone number *
Instagram handle (i.e. mine is prenatal.nutritionist) *
How did you find me? *
Where are you in your pregnancy journey? *
If pregnant, how many weeks are you?
What are your biggest challenges/struggles which is why you'd like to take these tests? *
What tests are you interested in? (Check all that apply) *
Required
How do your prefer to communicate for next steps? *
On a scale of 1-5, how ready are you to make changes in your lifestyle (diet/movement/sleep/etc) to have a healthy pregnancy journey? *
Not Ready
I'll do anything
Depending on what testing we decide is the best fit for your goals, symptoms, and current struggles will depend on cost which will all be discussed. Do you have an investment amount in mind TOTAL. 

Please note I do offer payment plans and accept HSA/FSA.
*
Required
Is there anyone else that needs to be involved in the decision for us to move forward working together? *
Are they supportive of you hiring a dietitian? If your answer was no above put n/a here. *
Is there anything else I should know? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nutrition with Haley.

Does this form look suspicious? Report