Application for Case Review Service

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Hey, there! So glad you're interested in a case review from Dr. Kate!

Please provide the following information so that Dr. Kate can get a sense of your concerns and provide you with personalized testing options and pricing for your case review.

IMPORTANT NOTE: if Dr. Kate accepts your application, you will be able to provide more detailed information about your health history during the intake process. Please keep your responses to 2-3 sentences.

Email *

Name *

First and last name

Phone number *

Street Address *

City, State/Territory, Zip/Postal Code *

Country *

In 2-3 sentences, why did you decide to apply to have your case reviewed by Dr. Kate? *

What additional testing are you interested in ordering? *

DUTCH Complete Test

Comprehensive Functional Stool Analysis/Gut Testing

Adrenal Hormone Testing

Ferritin and Additional Micronutrient Testing

Complete Thyroid Testing

Other:

Required

Is there anything specific you'd like Dr. Kate to know while reviewing your application? *

How did you hear about Dr. Kate? *

Send me a copy of my responses.

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