Client Forms

Thank you for your interest in our holistic fertility services. Before you schedule a consultation with one of doctors or nutritionist please follow the below steps. 

Steps To Take When Booking A Holistic Fertility Consultation

  1. Click on the consultation type that you would like to have, download the forms, and complete ALL forms.  If you are couple, and both of you have fertility concerns and would like to speak to the doctor/nutritionist, you must complete your own set of forms below.  

  2. Once you have completed the forms, email them along with any medical records to include (lab work, surgical procedures, genetic testing...) to

  3. After we receive your intake forms you will be emailed a link to book your consultation with the doctor or nutritionist. 

  4. Appointments are In Person or Virtual and last up to 1 hour for an individual or up to 1.5 hours for a couple. 

  5. Within 72 hours after your appointment you will be emailed a complete treatment plan that will include the doctor/nutritionist findings and protocol for your condition. 

  6.  Three days after you receive your treatment plan, our office will follow up with you to answer any questions and schedule your first treatment. 

  7. For the best results please be prepared to work with our holistic fertility team for 3-4 consecutive months. This allows the team to monitor your progress and change your treatment protocol as your body changes. 

Consultation with Doctor of Oriental Medicine


Consultation with Doctor of Oriental Medicine


Consultation with Nutritionist


These forms are for an individual who has fertility concerns and would like to take to the doctor. 

These forms are for  couples who have fertility concerns and would both like to talk to the doctor.. Both individuals must complete their own forms. 

This consultation is if an individual has fertility or other health challenges and would like nutrition advice from our Functional Integrative Nutritionist.