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Atlas Naturopathic
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SHOP SUPPLEMENTS
New Patient Application
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How did you learn about us?
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Please tell us about why you would like to work with Dr. Maloof:
What are your top 3 health concerns that you want to address?
What is your level of commitment to working on your health? (1 = very little)
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What are the 3 actions you're currently taking to support your health?"
What are 2 factors that are currently preventing you from healing?
Would you be willing to make drastic lifestyle or dietary changes to support your healing?
Atlas Naturopathic does NOT bill to insurance. Are you willing to financially invest in your health?
Choose an option
What is one thing in your life that brings you joy?
Apply Now
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