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After you fill out this form, we will be reaching out to you to see if you qualify for care and if we are a good fit to work together on your health!

DO NOT FILL OUT THIS FORM if you:

You aren't looking for an alternative treatment method
You aren't in, around, or traveling to the Las Vegas area
You are looking for only testing
Are looking for a primary care physician (We aren't PCP)
It’s important to understand that insurance does not extend to our treatments that focus on discovering the underlying cause of a diagnosis

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