Step two

Congratulations on taking the first step! You will not be sorry…guaranteed!

Out of respect for your sacrifice of time and finances, we are taking every stride possible to address each obstacle you might face when you return home. We will work tirelessly to ensure this program is effective for you! Ultimately, efficacy means implementation and that is our mission.

In order to make the program personal, please complete the questionnaire in its entirety and return it as soon as possible to If you utilize a paper format for your new patient intake forms, please include a PDF of those forms. If your headshot is not on your website, please attach one (it does not need to be a professional photo).

Also, we have put countless hours into preparing this great resource for you. However, it is especially for you, so we ask that you sign a Confidentiality Agreement, committing not to distribute the resources to others.

Thank you for taking the time to complete this. The goal of a small group setting is to make it specific to your practice and this information will help immensely.

We are so excited to host you and we look forward to a great experience together!

Click to download:

DEI doc questionnaire

DEI confidentiality