Book A Free
Discovery Call

Curious to know more about our work and how we help patients just like you? Apply for a free discovery call so we can discuss where you are now and share some insights on how you can reach optimal health and finally stop being held hostage by your chronic dis-ease . Take the first step towards the vibrant life you deserve!

Applicaton For 30-Minute Free Discovery Call

Thank you for your interest in partnering with me to optimize your health. In order to assist you better, please complete the brief form below before scheduling a free 20-minute phone consultation. There is no risk and no obligation. We are out of network with all insurances. Please answer the questions as thoroughly as possible.

What's your first name? *

What's your last name? *

What's your best phone number? *

What's your best email? *

How did you hear about Excel Health MD? *

What are your top health concerns that you would like us to help you overcome? *

Why is this goal important to you, and what do you think is stopping you from accomplishing it? *

Do you consider yourself coachable? *

Do you have a supportive spouse, significant other, or friend to support your personal goals? *

Who else have you worked with? *

Functional Medicine Practitioner
Medical Doctor/Osteopathic Doctor
Medical Specialist
Naturopathic Doctor
Traditional Chinese Medicine
Nutritionist/Dietician
Personal Trainer
Chiropractor
Personal Development Coach
Other:

What functional lab testing have you done previously? *

Functional Stool Testing
Organic Acids Testing
Adrenal/Cortisol Testing
Genetic or Genomic Testing
Hormone Testing
Food Sensitivity Testing
Heavy Metal Testing
None
Other

Considering your past treatments, what would you like to improve or do differently moving forward? *

Are you willing to do what's necessary to reclaim your health? (This may include dietary modifications, functional lab testing, lifestyle and environmental modifications, etc) *

If we can find a root cause solution to help you restore your health, are you capable of investing financially in yourself over the next 9-12 months? *

Yes, I am ready & able to invest in my health now.
No, I'm not able to at this time. I have other priorities.

We are making time in our schedule to see how we can help you with your health concerns. Please be kind and be present for your call. If you need to reschedule give us atleast 24 hours notice *