To effectively serve you and optimize your health in a 3-Month or 6-Month Personalized Medicine Program, it is essential to know all we can about you. Our Personalized Health Profile helps us learn about your demographics, your prioritization of goals for your health, your lifestyle, and your personal medical information and history.
Why is a Personalized Health Profile so important? To develop the perfect program for you, we need all the information you can provide so that we can build a program around your specific health needs and wants. Your information is strictly confidential, and will never be shared with anyone but Ms. Bertha Campbell, your Functional Medicine Nurse Practitioner.
Great care is personalized care, and our Personalized Health Profile is the perfect place to start in building a personal relationship with you. All you need to do is download the PDF below and fill out your profile in as much detail as possible:
There are two ways you can complete your Personalized Health Profile and submit it to us:
- Complete the form online, save the PDF, and email it as an attachment to firstname.lastname@example.org. Once your Profile is submitted, you can call Bertha Campbell at 954-802-9835 to schedule your initial consultation.
- If you are unable to fill out the form online, you can print out the Personalized Health Profile instead. Once you have it completed, please call Bertha Campbell at 954-802-9835 to schedule your initial consultation and turn in your Profile.
We look forward to getting to know you and getting started with your Personalized Medicine Program!