Reserve Your Discovery Assessment

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1. Click “NEXT” to fill out our short form.
2. Submit a $49 refundable deposit to reserve your Assessment.
3. Meet with a Brain Life Center expert and your $49 is automatically refunded.

Thousands have already experienced life-changing results. Now it’s your turn.

Questions? Call 248-922-9490. We’re happy to help.

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Are you completing this form for yourself or someone else?* This field is required.Please complete this form for the attendee.

This is for meFor someone else

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Client Details* This field is required.

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Date of Birth* This field is required.

Date

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Appointment Date/Time* This field is required.Reserve a date and time for your Discovery Assessment

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Your Virtual Discovery Assessment Reservation is Almost Complete!

A Brain Life Center expert with over 15 years of experience is scheduled to fully assess your personal challenges and objectives, answer all your questions, and help you find the solutions you're looking for.

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Payment

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Virtual Discovery Assessment90-Minute Appointment
$49.00Edit
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Upon completing this form, you are agreeing to be charged the full amount of $49 if you DO NOT attend your Virtual Discovery Assessment.* This field is required.

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Name* This field is required.Please enter your first and last name

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Phone Number* This field is required.Please enter your phone number *required* (xxx) xxx-xxxx

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