APPLY TO WORK WITH TRISHA

Fill out the form below so that we can get to know you! When you click submit, you'll be taken to my calendar where you can book your complimentary 20 minute discovery call.

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Full Name

Phone Number

Date of Birth

Occupation

How did you hear about my services? If a specific person, please list their first and last name.

What are your top 3 fertility concerns?

So far in your fertility journey, what have you already tried to optimize your fertility?

How are these fertility concerns currently negatively affecting your life?

How would you rank your overall health?

Very poor health-I do not feel well.

Poor health-I am dealing with moderate health challenges.

Decent health-I feel good about 50% of the time.

Good health-I feel good to great about 75% of the time.

Great health-Besides not being able to get pregnant, my health feels amazing all of the time.

In the next 3-6 months, what changes would you like to make? Be specific.

How will achieving your fertility goals change your life?

The investment to work 1:1 with a fertility practitioner including specialty lab-work is a minimum of a 4-figure investment and a minimum 1 hour/week time commitment to get started in our programs. Which program are you committed to joining? Please note, we do have payment plans available for all programs.

High level 1:1 5 month program with Dr. Trisha, including functional testing, 8 1:1 visits, unlimited messaging access with Dr. Trisha, & 1:1 Fertility Mindset coaching call (upper 4 figure investment)

Hybrid (1:1/group) 5 month program with Dr. Trisha & her team, including functional testing, 5 visits & messaging access with Dr. Trisha, 5 group calls with Dr. Trisha's health coach, & 2 group Fertility Mindset coaching calls (mid 4 figure investment--SPECIAL DISCOUNTS this month ONLY!)

I am interested in 1:1 case review & functional lab testing with Dr. Trisha only. (low 4 figure investment)

APPLY TO WORK WITH TRISHA

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