Application to work with Dr. Melissa Weidert
As of 10/2025, Dr. Melissa is still taking new patients but at a slower pace. We are scheduling out to February 2026 at this time. Applications will be reviewed within 2-3 weeks. Dr. Melissa offers telemedicine only if you are phyiscally in Texas or Pennsylvania at the time of your visit. Residency is not required, but you must be present in one of those states during the appointment. You'll receive an email from the clinic once your information is reviewed. Before applying, please review the services and FAQs pages on the website. If you still have questions, email contact@fiatfertilitywellness.com. Please note that this is not your medical history intake form - once you are accepted to work with Dr. Melissa, you will be given further directions. Thank you!
Progesterone and Thyroid Monitoring
If you need progesterone monitoring and/or thyroid monitoring during pregnancy, please fill out the application and call us at 972-349-5426 so we can assist you quickly. Dr. Melissa will then arrange lab orders, medications, and supplements based on your situation. Thank you!
Name
First Name
Last Name
Email
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Phone Number
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Format: (000) 000-0000.
Date of Birth (MM/DD/YYYY)
Gender
Female
Male
City, State, and Zip Code
How did you hear about Fiat Fertility & Wellness?
Friend or family member
Medical provider or practitioner (ie: doctor, chiropractor, physical therapist, nutritionist, integrative health practitioner, Creighton Model FertilityCare Practitioner, etc)
Social media (ie: Instagram, Facebook etc)
Website search
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Other
If you selected "other" above or want to share more details about how you heard about us, please type here.
What are your reasons for wanting to work with Dr. Melissa? Please select all that apply to you!
Functional medicine and holistic health evaluation
Postpartum consultation and wellness
Preconception consultation and wellness
Progesterone monitoring and/or thyroid monitoring during pregnancy
Women's and/or men's fertility evaluation
Women's health in general
Other
If you selected "other" above or want to share more details, please type here.
Are you currently pregnant or breastfeeding?
Yes
No
If you selected "yes" above, please indicate how far along in pregnancy or how many months you have been breastfeeding.
Are you currently working with any other practitioners?
Yes
No
If you selected "yes" above, please provide the practitioner name(s) and reason(s) why you are working with them.
What are your top 3 health concerns? Please list in order of importance.
What are your top 3 health goals? Please list in order of importance.
Any questions or pertinent information that may be helpful for Dr. Melissa to know?
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