New Client Inquiry New Client Inquiry Thanks for your interest in my practice! Please take a moment to tell me about yourself and ask any questions you may have. Date Date Format: MM slash DD slash YYYY Name* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code I'm looking for a health care practitioner for*MyselfMy childrenMy familyI'm contacting you today because*I have a situation needing urgent careNot urgent, just ready to take charge of my healthI haven't found the results I'm looking for with my current practitionerOtherI omit the following foods in my daily diet*Choose as many as apply. DairyMeatAlcoholGrains that contain glutenOtherI take the following medications*Choose as many as apply. Management for blood pressure, cholesterol or heart functionBirth control (including an IUD)SteroidsHormone regulationAllergy controlAnti-anxiety or anti-depressantsNoneMy wish for my personal/family health*My perfect health care provider will...*Questions I need answeredI heard about your practice fromGoogle searchA friend or colleagueA practitionerYour book/sWho can we thank for referring you? New Client Pricing Our pricing includes three 45-minute intake sessions, our carefully prepared online welcome packet and a copy of Lauren's book: Gemmotherapy for Everyone: An Introduction to Acute Care. At the completion of the three sessions, you can determine a frequency for follow-up appointments that best suits your symptoms and budget. Individual Intake $350 Three 45 minute sessions Your choice of Lauren’s current books PhoneThis field is for validation purposes and should be left unchanged.