New Client Application | IntegrativePediatric

New Client Application

Renew & Thrive: The Ultimate Brain Wellness Reset Program

Dr. Ellie's 1:1 Renew & Thrive: The Ultimate Wellness Reset Program is reserved for committed families that want to ease the suffering of their children and alleviate their symptoms by addressing the underlying root cause over the course of 6 months (and beyond!)

If you want to:

**Uncover and treat the underlying causes of symptoms

**Reduce the need for medications

**Address genetic factors, diet, gut health, environment and lifestyle

**Use advanced diagnostic testing and a personalized treatment program with a thoughtful, thorough, and caring medical doctor at your side to address your child’s health.

** To help your child move toward sustainable well being, resilience, and joy

...then please fill out the application below.

Have you ever worked with a functional medicine doctor before? If so, what was that experience like? (Everything you share with me is kept strictly confidential)

What are the top two or three health concerns you are currently struggling with? What have you tried in the past to solve them?

If you DO solve these most challenging health concerns, what would your life look like 6 months from now?

On a scale of 1-10, how committed are you to solving these health challenges over the next 90 days to 6 months? (1=not ready at all, 10=Let's Do this!)

Healing from anxiety, depression and ADHD takes an investment in energy, time, focus and funds-but the payoffs are life-changing. Are you in a place where you can invest these necessary resources into reclaiming your child's health? Or, are there things that might take priority and get in the way? (Please be honest-no judgment!)

Is anyone else (i.e. significant other) involved in the decision making process? If so, how does this person feel about you making an investment in your family and child's wellbeing?

How did you find me? (i.e. google, referral, instagram etc..) If you answered referral, who was the person that referred you?

When you become my client, you receive unparalleled support and handholding to ensure you acheive your goals. Because of this, I only accept a limited number of clients under my wing. Please indicate why you believe you are a good fit for my program and why you want to work with me.

Is there anything else you would like me to know?

Thanks for Applying. Looking Forward To Speaking To You Soon!