INTAKE + ASSESSMENT FORMS
INTAKE + ASSESSMENT FORMS
Intake and Assessment Forms
Ideally, I would love to have you fill out all 3 forms! But if that is too much, choose between the Assessment Form (Which is a PDF fillable form) or the Toxicity Quiz and then add in the Client Intake Form. Scan and email the forms back to me at: dawn@agekure.com. Thank you! I am looking forward to learning about you, running labs to get to the root cause of your health issues and creating customized bio-individual protocols to help you heal!
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DETERMINE YOUR BODY’S TOTAL TOXICITY LEVEL, SO WE CAN HELP YOU REVERSE ITS CURRENT STATE.