Virtual Healing!
 Healing Restoration


We Believe In The Power Of Connecting

You have a story that is unique to you alone. Your story tells your journey. Your story holds the keys to what has robbed you of health. We need to understand your story to unravel the keys that will bring you back to health.

These forms allow us to be specific with you – what is going on with you and how you can heal. Fill them out, add the pictures and E-Mail them back to us. We will then schedule a time to talk with you – about you.

It starts here – connecting with you.

828 683-9332

These forms help us connect with you and your story. The more detail that you give us, the more we can connect and help you.

Take 3 pictures of yourself: 1 from the front; 1 from the side; one of the face.

Fill these out, add the pictures, and E-Mail them back to us at

Here are the 3 Forms

Basic Overview

Coaching Application


To fill these out in an Android phone:

  1. Click on the form, it goes to your download folder.
  2. The download folder has a google drive icon in the top right corner. Click on it and save all 3 forms there. (You can make a new file here and save them in the new file so you don’t have to search for them.)
  3. Then close the download folder.
  4. Open the Google Drive and click on 1 of the forms.
  5. From there either a pencil will show up at the bottom of the form or a prompt to fill the form. Click on either one.
  6. Touch the form in each section that you want to fill out.
  7. A keyboard will show up at the bottom of the screen. 
  8. Then you can fill each section.
  9. Click Save.
  10. You can add notes by clicking on the message icon at the top.
  11. Click on the 3 dots in the upper right.
  12. Choose Share.
  13. Put our email address in your email contacts.
  14. choose our email address.
  15. Click send.

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* Over 30 years of Post Graduate Studies & using Functional Medicine.
* Over 90% regain their health – following instructions.


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