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Empowering Your Visit

Thank you for booking your session. This intake form is designed to help me, Dr. Anita, prepare for our Discovery Video Call so we can make the most of our time together.

Intake Information

Care Type
Neurology Care
Lifestyle Health
Both

Next Steps

Please remember that your call time is set in MDT (Mountain Daylight Time). We recommend marking your calendar to ensure you don't miss our session.

Dr. Anita will carefully review your answers before the call to ensure your time together is as productive and focused as possible.

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