Application for One on One Work
This application helps us determine if you are a good fit for our programs. Here's a brief summary of how it works and what to expect:

After you fill out this form, you'll be contacted by Amber's team within 72 hours and either given the option to book your initial session for the start of the next month or placed on the wait list.  

Initial sessions are $125 and not included in your program (though we have discounts on some of our programs to essentially refund this price if you move forward).  Because we only work with a small number of people each month, we only offer a few initial sessions at first.  However, the initial session is a no pressure meeting and is mostly a chance to meet Amber, make sure you will make a good team, and have her take a thorough health history from you.  You'll have some time after that session to confirm that you want to move forward.  

Because everyone has a chance to opt in or out after their initial session, sometimes spots do open up for the month, so if you're placed on the wait list, there's still a chance you could be selected to move forward.  

We know this can be a little confusing, so please feel free to contact the team at with any questions and to check your place on the waiting list.  

Please fill out this form with as much detail as possible and we will send an email with more details within 72 hours.  Please check your spam folder as sometimes our replies go there!  Looking so forward to meeting you!


P.S. for more info on Amber's one on one program, please visit and 
Sign in to Google to save your progress. Learn more
Name *
Email *
Would you like to receive Amber's monthly newsletter?
Which program are you most interested in? *
What are your health concerns and/or conditions? *
What are your goals for your health? *
Do you currently have any dietary restrictions (Allergies, sensitivities, vegan, Kosher, Halal, etc.)? If so, please list. *
Are you open to removing foods from your diet for a time if necessary?
Clear selection
Are you open to consuming supplements as part of your plan? Amber is very discerning about what supplements and how many she recommends, trying to keep her protocols small but sometimes supplements are necessary.
Clear selection
Is there anything else you think Amber should know about you?
How did you hear about Amber? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.