The Natural Health and Healing Center

New Patient Sign-Up Form 

We look forward to meeting with you for your Nutrition Response Testing℠ Evaluation and Analysis. Please read through the information below about how this process works, then complete and submit the form below. An associate will then contact you to schedule your appointment.

Nutrition Response Testing℠ is a very accurate system for analyzing the body for organ dysfunction and nutritional deficiencies, using specific reflexes as an indicator while contacting organ acupuncture points on the surface of the body. We also use The Heart Sound Recorder, a computer-based low risk general wellness monitor, to determine areas of heart stress. This is an important tool in evaluating your overall health.

The initial evaluation and analysis consists of two appointments: Evaluation and  Review of Findings Appointment. The purpose of this initial testing and analysis is to help you uncover underlying stress or dysfunction in that area of your body which may be adversely affecting your health and give you insight into what you can do next. At the Review of Findings Appointment we will determine if you are a good candidate for our personalized nutrition program; consisting of personalized diet program, along with whole food supplements. The goal of this personalized program is to restore the body’s ability to heal itself.

 The fee for the Primary Analysis and Review of Findings Appointments is $150.00* and is required at the time of appointment booking. 

*If we feel our nutrition program will be beneficial to you, $50 of the primary analysis can go toward your program fee. If our program is not a good fit for you, we will refer you to other resources that may help you achieve your health goal. A 24-hour notice is required prior to your appointment for cancellation.

 

New Patient Sign Up Form

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New patients for Nutrition Response Testing:  Please print out and complete the forms below. Please bring them with you for your first appointment.

New Patient Information Form

Symptom Survey

Thank you for completing the form. We will be contacting you to make your initial analysis appointment and collect payment.