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English (US)
Let's Get Started
We're excited to have you as part of the Amos Institute community!
Are you signing up for yourself or on behalf of someone else?
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For myself
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Tell Us About Yourself
Please complete the fields below.
First Name
*
Last Name
*
Gender
*
Male
Female
Other
Age
*
Do you have a current diagnosis?
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Alzheimer's Disease
Dementia
Mild Cognitive Impairment (MCI)
No Current Diagnosis
Other
How many copies of the ApoE4 gene do you have?
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0
1
2
I don't know
What is your reason for signing up?
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To treat my current diagnosis
As preventative care
Other
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Who will be participating in the program?
We will refer to the individual participating in the program as the "Client".
Client First Name
*
Client Last Name
*
Client Gender
*
Male
Female
Other
Client Age
*
Does the client have a current diagnosis?
*
Alzheimer's Disease
Dementia
Mild Cognitive Impairment (MCI)
No Current Diagnosis
Other
How many copies of the ApoE4 gene does the client have?
*
0
1
2
I don't know
What is the client's reason for signing up?
*
To treat my current diagnosis
As preventative care
Other
What is your name?
*
First Name
*
Last Name
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Contact Information
We will use these details for all communication from the Amos Institute. Please use the contact information you wish to be associated with this account.
Email
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This email address will be used to login to your Amos Institute account.
Phone Number
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Area Code
Phone Number
Street Address
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City
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Zip Code
Country
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State
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Select Services
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Cognitive Health Program
Our core program designed to help you fight dementia, reverse Alzheimer’s disease, and maintain your very best cognitive healthspan.
$
365.00
Private Dietitian Appointment
A 60-minute appointment with a RDN to review and discuss any questions about the Cognitive Health Program.
$
350.00
Lab Analysis & Supplement Guidance
A 60-minute appointment with a RDN to personalize the nutrition aspects of the program based of your biochemical & genetic data.
$
450.00
Personalized 1-Week Meal Plan
A 7-Day meal plan created based on your caloric macronutrient needs and food preferences.
$
475.00
Payment Details
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