Functional Blood Analysis Consultation

Everyone has the right to a Second Opinion. This includes:

Please complete the information form below so I can assist you in scheduling your

blood draw appointment at a CLIA-certified diagnostic lab

near you.

Most lab results are available within 1–3 business days

Once I’ve received your results, please allow up to 2 weeks for me to create your

personalized wellness plan to begin your healing journey.

First Name *

Last Name *

Address

Street Address *

City

State

Postal code

Date of birth *

Phone *

Email *

I Consent for Simply Cultivated Health to acquire my lab results and review them to create a health protocol for recommendations purposes only.