Meg Langston Wellness 1:1 Application
Thank you for your interest in wanting to work with the Meg Langston Wellness Team! Please complete the brief application below and we'll get back to you within 48 business hours to schedule a discovery call with Meg! *At this time we are not taking on international clients or clients residing in the following states: New York, New Jersey, and Rhode Island.*
Name
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First Name
Last Name
First Name
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Last Name
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What is a good email address to reach you at?
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example@example.com
Do you currently live in the United States or Canada?
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Yes. I live in the United States or Canada
I live outside the U.S or Canada
Have you worked with a functional nutritional therapist or doctor before? If so, was it within the past year and are you currently still working with them?
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What are your top 3 health concerns and how long have you been working on healing them?
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Have you lived in mold or have you ever been diagnosed with Co-Infections or Lyme Disease?
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Yes
No
I'm not sure
Why are you interested in working with Meg Langston Wellness?
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How did you hear about Meg Langston Wellness?
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Have you listened to Meg's private podcast, Beyond Her Symptoms?
Yes
Not yet
On your discovery call, Meg will pair you with the practitioner on our team who will be able to provide you the best support for your unique case. While Meg might not be your 1:1 practitioner, Meg will oversee all protocols + testing interpretations.
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I understand
I’m aware your programs range from $2997 to $4,800 and I’m ready to invest in my health — whether that’s in full or through a payment plan.
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Yes! I understand
Submit
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