Please note:

The form below is for a, ($150) personalized consultation.  This does not include any lab work that you may need or supplementation.

Personalized imbalance consultations are scheduled after payment is made below.

 

Current appointment wait time: 2-3 weeks.

Please fillout form below.

Personalized Onboarding

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Are you a current customer or client of The Meta-Center?(Required)
This will be verified.
Why are you contacting us?(Required)
Followups are for clients who have had previous imbalance onboarding. If you have not had a previous imbalance check click on the 'New Client Signup'
Name(Required)
Address(Required)
Disclaimer #1(Required)
Disclaimer #2(Required)
Disclaimer #3(Required)
Consent(Required)
Your Born Gender(Required)
Do you exercise?(Required)
Minimum 2-3 times weekly for at least 30 minutes.
Have you received the Covid-19 Vaccine or Booster?(Required)
Have you had any other vaccinations in your life?(Required)
Do you ingest any of the following?
If a formula is needed, its ingredients are not disclosed. It is important any and all allergies are listed. It is your responsibility to discuss any and all opinions, supplements and life style changes with your licensed medical doctor.
Do you have any of these imbalances?
What is your Diet?(Required)
Not what you wish your diet to be, or what you're working toward. What is your actual diet for the last 12 months?

Please be detailed, focusing on the most important imbalances.
Blood test may be required if imbalance is serious in nature. All submitted documents are deleted from server within 24-hours of review.
Max. file size: 100 MB.
If imbalance is better shown so that we may innerstand completely the issue at hand. All submitted photos are deleted from server within 24-hours of review.
Max. file size: 100 MB.
Blood test may be required if imbalance is serious in nature. All submitted documents are deleted from server within 24-hours of review.
Max. file size: 100 MB.
If imbalance is better shown so that we may innerstand completely the issue at hand. All submitted photos are deleted from server within 24-hours of review.
Max. file size: 100 MB.
Acknowledgement(Required)
Consent(Required)
Consent(Required)
Please sign as clearly as possible. If not, your review may be rejected.