APPLICATION FOR THE POWER TO HEAL PROGRAM™

The Power to Heal™ Program is a robust, whole-person, integrative health care program with a stellar success rate.

Due to increased popularity, our program is currently full. If you would like to join our waitlist, please fill out this application form.

Our team will review and be in touch with next steps.

note: the application is not an obligation to join. If your application is approved you will be given the information you need to make an educated and confident decision for yourself.

Your Full Name? *

Preferred Email Address *

What are you looking to achieve in your journey to health? *

Disease Remission

More Energy

Pain Reduction

Better Sleep

Joy for Life

Deeper Spiritual Connection

Increased Strength and Flexibility

Vibrant Mental Health

Discovering Life Purpose

You may choose more than one

How long have you been experiencing chronic illness symptoms? *

Less than 2 years
2-5 years
5-10 years
10-15 years
15+ years
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What is your #1 challenge when it comes to living with chronic illess? *

On a scale of 1-10, how committed are you to doing whatever it takes to solve this problem NOW? (note: If its not a resounding 10! It's not time yet) *

1 - Not Ready

10 - I am SO Ready!

I acknowledge this is an integrative whole person care program and it will require a financial investment in myself of $5500 USD or $999 USD per month for 6 months *

Yes

Please briefly describe symptoms and any other info you believe is important to add? *

POWER TO HEAL PROGRAM™ MAY BE FOR YOU IF...

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