Discovery Form
In lieu of a phone or Zoom call, please fill this out to the best of your ability. This helps give me a better idea of who you are, where you're coming from, and if we would work well together. Please visit https://theplantpotential.com to see services and pricing.
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Email *
Full Name *
Email *
Phone *
How did you hear about The Plant Potential? *
What are your top 3 health concerns at this time? *
What have you tried so far to work on these concerns? *
Do you have a diagnosed health/medical condition? *
Are you experiencing any symptoms from your health/medical problem? If so, what symptoms?
Do you have health insurance? *
Do you intend on using your health insurance to cover your nutrition counseling sessions? (Please note: we are only in network with BCBS TX and United Healthcare) *
If not covered, are you at a place in your life where you would be able to invest in nutrition services? ($160 for 1 hour sessions; $80 for 30-minute sessions) *
Do you have any particular questions for me prior to scheduling an appointment?
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