Personalized Patch Plan Form
Please fill out to the best of your ability. The more accurate information received, the better I will be able to tailor your patches to your needs.

After submitting the form, please give Dr. Tiffany 3-5 business days to get your results back. You will receive your recommendations by email along with instructions to place your order.
I am so excited for you to begin to experience the amazing healing power of phototherapy like thousands of other people, including myself, have already experienced!
Disclaimer: The recommendations provided through this patch suggestion form are not intended to be interpreted as medical advice, diagnosis, treatment, or cure for any symptoms or health conditions. These suggestions are made based on the individual qualities of each patch that LifeWave provides to help enhance your overall well-being. By submitting this form for patching recommendations, you acknowledge that Dr. Tiffany does not assume formal care or responsibility for your health. These recommendations are intended for informational purposes only and do not establish a doctor-patient relationship. Always consult with a qualified healthcare professional before making any decisions regarding your health.