If you are interested in enrolling in any of the above programs, please print the respective form or have your physician or PA print the form. Your physician would have to fill out the "physician's corner " section on the back of your form.

We are an integrative practice and for optimum results, we like to partner with your physician when possible.


Email the completed form to or bring it to your first appointment or free assessment if it is an in-person meeting. 

Those are NOT the only programs we offer!


Please contact the office at to book your free assessment for our other programs such as career coaching/personal branding, stress management, work-life balance, financial wellness to name a few... To learn more about our other programs, return to the HOME page, you will find more information under Laureavida Services.