Date of Birth
Preferred Method of Communication
How did you hear about us?
What health challenge(s) are you wanting solved?
Why do you want to work with Dr. Turner?
How much time are you willing to invest if you knew it would solve your problem(s)?
About 6 months
About a Year
More than a Year
As much time as needed
How much money are you willing to invest if you knew it would solve your problem(s)?
Less than $500
$500 - $1000
$1000 - $3000
As much money as needed
How might you like to work with us? (check all that apply)
In-Person - 1:1 Consultation with Dr. Turner
Video Chat - 1:1 Consultation with Dr. Turner
Phone Call - 1:1 Consultation with Dr. Turner
Participate in a group Zoom presentation by Dr. Turner on a health topic of interest
Enroll in one of our self-paced, online educational programs
Please acknowledge the following statement to proceed:
I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.
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