Eternity Health Concierge Primary Care
Full Name
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Email
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Do you currently have a primary care provider?
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yes
no
Does your current primary care provider understand the importance of integrating the preventative health & hormone optimization side of medicine?
yes
no
Does your current primary care provider give you natural tips and tricks without the use of prescription medications to optimize sleep, stress, nutrition, and exercise?
yes
no
Do you have any pre-existing health concerns currently being monitored by your primary care provider? (i.e. Diabetes, High Blood Pressure, High Cholesterol)
What would you like to get out of the Eternity Health Concierge Primary Care?
Would you like a call from our Client Service Coordinator about enrolling in our Primary Care?
yes
no
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