Consultation – Allmond Wellness 37

Please Complete this Pre-Screening Questionnaire

PLEASE NOTE: This message contains confidential information and is intended only for applicant and it’s intended recipient.
We do not and will not share any information contained in this questionnaire with any third parties.

Please review the “Ideal Allmond Wellness Client” Agreement BEFORE proceeding.

IMPORTANT PRACTICE NOTES

Any recommendations shared during consultation should be discussed with your personal care provider.

Under no circumstances will Deanna prescribe controlled substances such as benzodiazepines, stimulants, or opiates.
These drugs are not conducive to good brain health and longevity.

*PLEASE INCLUDE COPY OF FRONT AND BACK OF INSURANCE CARD IF HAVING GENETIC TESTING ORDERED*