12-Week Self-Directed Form

  • 12-Week Self-Directed Form

  • This plan includes:

    • Comprehensive blood chemistry analysis (all blood work is assessed against optimal ranges, not just ‘normal' reference ranges)
    • In-depth functional assessment and symptom analysis
    • Identification of underlying patterns, deficiencies and dysfunctions
    • Assessment of the foundations of health (sleep, stress, movement, mental health, diet and more)
    • Insight into your hidden health blocks
    • Nutritional suggestions (Additional 7-day or 14-day meal plan add-ons available at check-out - see below)
    • A 12-week detailed supplement protocol, which may include herbs

    Your 12-week health plan will have a blend of traditional wisdom with current scientific tools to offer you a well-rounded, personalized roadmap. The focus is on cultivating a strong foundation for long-term health, not just addressing surface-level symptoms.

    Once form and payment are received, please allow for 14 days to receive your 12-week self-directed plan via email.

    Questions? See my FAQ Guide.

  • There are 3 steps:

    Step 1: Getting your bloodwork done (see section below)

    Step 2: Submitting your bloodwork and completing an assessment form (see form on following page)

    Step 3: Receiving your 12-week health protocol (allow for 14 days following form and payment submission)

  • For Step 1 - Blood Work Instructions:

    Download this form to take to your doctor or nurse practitioner. It includes a full list of the markers I recommend testing. Be sure to request a copy and follow the instructions for testing below:

    • Test in the morning, ideally 10-12 hours after your last meal
    • Only drink plain water the morning of the test (a litre of water is preferable)
    • Stop all supplements 1 week prior to testing (continue all essential medications as prescribed and include in your intake form below)
    • No vigorous exercise or sauna use for 2-3 days prior (walking and yoga are o.k.)
    • For women please avoid testing during your menses

    Attach the results to this form upon check-out, along with any other health-related documents you would like for me to review. Attaching old lab test results up to 1-2 years old can be useful as well.

  • Pricing:

    This program is an excellent option for anyone seeking the valuable health insights, benefits, and personalized plans of working one-on-one with a practitioner, but without the time or financial commitment.

    • 12-Week Self-Directed Program - $325
    • 12-Week Self-Directed Program + 7-Day Meal Plan - $350
    • 12-Week Self-Directed Program + 14-Day Meal Plan - $375

    Still not sure what option is right for you? Check out my FAQ Guide.

  • Contact Information

  • Format: (000) 000-0000.

  • General

  • Do you have any life threatening allergies? (ie. foods, drugs, vaccines, environmental, etc.)

  • Please check if you have had any of the following concerns within the last year:

  • General
  • Eye Health
  • Oral Health
  • Cardiovascular and Respiratory
  • Musculoskeletal
  • Gastrointestinal
  • Liver and Gallbladder
  • Blood Sugar
  • Adrenal and Thyroid
  • Hair, Skin and Nails
  • Mood and Mental State
  • Urinary

  • Female Clients Only

  • Menstrual regularity, check all that apply
  • Regarding your menstrual cycle, check all that apply
  • Are you currently using a form of birth control?

  • Personal Lifestyle

  • Check all that are applicable
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          12-Week Self-Directed Program
          $325.00 CAD$325.00CAD
            
          12-Week Self-Directed Program + 7-Day Meal Plan
          $350.00 CAD$350.00CAD
            
          12-Week Self-Directed Program + 14-Day Meal Plan
          $375.00 CAD$375.00CAD
            
          Subtotal
          $0.00 CAD$0.00CAD
          Tax
          $0.00 CAD$0.00CAD
          Total
          $0.00 CAD$0.00CAD
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