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APPLICATION FOR $1,000 HEALTHCARE PROVIDER SCHOLARSHIP
Limited Number & Expires at End of Month 🔒 Secure Application
14
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1
What phase best describes your current practice journey?
*
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I am planning to have my own practice
I started building my practice, but do not have patients yet
I have a practice
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2
What is your background in Functional and Integrative Medicine training?
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I am interested in Functional and integrative medicine training
I am currently enrolled in a Functional medicine training
I completed a Functional and/or integrative medicine training
I am a certified Functional Medicine Practitioner
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3
Do you currently have an experienced mentor guiding you through proven practice-building strategies?
*
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Yes, I have an active mentor
Somewhat, but not consistently
No, I’ve been figuring it out on my own
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4
Are you interested in learning and implementing proven systems for growing a practice successfully?
*
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Our model is built for practitioners who are committed to delivering high-quality, personalized care through a root-cause, functional medicine approach. If creating meaningful, lasting impact with your patients is important to you, this program will feel like the right fit.
Yes, absolutely
Not at this time
Possibly, I’d like to learn more
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5
Are you interested in learning strategies that will create financial stability and a predictable income in your practice?
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This isn’t theory. This is real-world, proven strategy from someone who’s been where you are and built what you want—without selling out or burning out.
Yes
Somewhat
Not a priority right now
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6
Which of the following best resonates with your current priorities?
(Select all that apply)
*
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Building a cash-based practice
Growing my practice as quickly as possible
Filling my schedule without relying on expensive digital ads
Building a practice that aligns with my values and lifestyle
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7
How likely are you to follow through if you are given a proven system, done-for-you marketing software, and expert mentorship?
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Very likely
Likely
Unsure
Not likely
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8
Are you in a position to invest time, energy, and resources into building a practice that aligns with your values and income goals?
*
This field is required.
We keep our cohorts intentionally small to ensure personalized support, deeper connection, and meaningful results. This program is designed for practitioners who are serious about growing their practice and income—while continuing to deliver exceptional care. If you're ready to be part of a focused, committed group, you'll thrive here.
Yes, I’m ready now
Possibly, within the next 1 to 3 months
Not at this time
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9
Which of the following describes your values the most?
(Select all that apply)
*
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I would like a practice that is focused on health and healing
I prefer a cash-based practice instead of dealing with insurance reimbursements or approvals
I would like to have more freedom with my work practice
I would like to be able to work remotely and be more available for family and hobbies
I would like to increase my income
Other
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10
What is your biggest challenge right now in building or growing your practice?
(open-ended)
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11
What is your profession?
*
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Please Select
Medical or Osteopathic Doctor
Registered Nurse
Nurse Practitioner
Physician Assistant
Pharmacist
Nutritionist
Physical Therapist
Mental Healthcare Provider
Dentist
Doctor of Chiropractic
Naturopathic Doctor
Acupuncturist
Nutritional Health Coach
Massage Therapist
Other
Please Select
Please Select
Medical or Osteopathic Doctor
Registered Nurse
Nurse Practitioner
Physician Assistant
Pharmacist
Nutritionist
Physical Therapist
Mental Healthcare Provider
Dentist
Doctor of Chiropractic
Naturopathic Doctor
Acupuncturist
Nutritional Health Coach
Massage Therapist
Other
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12
What is your name?
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First Name
Last Name
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13
What is your email?
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example@example.com
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14
What is your phone number?
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Please enter a valid phone number.
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