Your personal information
Please fill in your contact information below. If the information is missing or incorrect, we will be unable to proceed with your consultation. We decline responsibility for pending transactions due to missing contact information.

Name:

Phone number:

E-mail address:


Gender:
female
male

Year of birth

Weight



We offer you three options for this consultation.

BASIC CONSULTATION is based on several questions with multiple answer possibilities. This is a shorter consultation for the price of only $17.95
ADVANCED CONSULTATION contains all the questions of the basic as well as more detailed questions regarding lifestyle, medical history, medication usage and specific symptoms or concerns you might have. The price for this consultation is $68.95
PHONE CONSULTATION –if you have further questions or have developed new symptoms after your consultation, you can request a telephone follow-up. The price for this consultation is $39.95/ hour