Name (First & Last)
Age
Telephone Number (please include area code / country code if not calling from the U.S.)
Time Zone
City
State/Province
Country
E-Mail Address
Confirm E-Mail Address
Select Length of Consultation
What are your health concerns? Please be concise.
What medications if any are you presently using.
We use VeriSign secure e-commerce payment technology
Neuro Screen / Basic Profile with 30 minute Telephone Consultation
Urine analysis: Epinephrine, Norepinephrine, Dopamine, Serotonin, GABA, PEA, Histamine, Glutamate.
Indicated for: General neurotransmitter assessment, Depression, Anxiety, Mood, Mental focus. |
charge: $298.00 |
|
Neuro Screen / Expanded Profile with 30 minute Telephone Consultation
Urine analysis: Epinephrine, Norepinephrine, Dopamine, DOPAC, Serotonin, 5-HIAA, GABA, Glutamate, Glycine, PEA, Taurine, Histamine.
Indicated for: ADD / ADHD, Autism, General neurotransmitter assessment, Depression, Anxiety, Mood, Mental focus. |
charge: $355.00 |
|
Neuro Sleep Profile with 30 minute Telephone Consultation
Urine & saliva analysis: Epinephrine (urine), Norepinephrine (urine), Serotonin (urine), Glycine (urine), GABA (urine), Glutamate (urine), PEA (urine),
Histamine (urine, Cortisol (saliva), Melatonin (saliva).
Indicated for: Insomnia and Sleep disturbances, General neurotransmitter assessment, Depression, Mood, Anxiety, Mental focus. |
charge: $379.00 |
|
Please do not proceed with payment until you have received an appointment from us.
If you'd like to have a neurotransmitter profile conducted, please fill out and submit the request form above this table.
You'll receive an appointment date from us, usually within 24 hours after submitting your request.
Once we've agreed upon a date, you'll pay for the test & consultation and will be sent a postage paid collection kit with instructions.
Based on the lab's turn-around time, your phone appointment will be scheduled for three weeks after the receipt of your payment. |
Do to the inherent limitations of our shopping cart program, California based clients will automatically be charged sales tax for their test & consultation.
This erroneous charge will be credited back to your account on the same day that your payment is made.
|
|

|
Our Wellevate Dispensary
is now open!
10% OFF ENTIRE STOCK
Easy, convenient ordering
15,000 Top Grade products
FREE SHIPPING over $49.00
Good health is no longer possible without avoiding
glyphosate found in GMO's
To improve many common health complaints, simply avoid ALL commercially
raised grains, fruits, vegetables, oils & animal protein!
An all organic diet is your best defense
home
|
home
We specialize in candida related conditions and digestive disorders: candida albicans, candidiasis, chronic fatigue, fibromyalgia, fungal infection, thrush, systemic yeast,
vaginal yeast infection and other common types of yeast infection, acid reflux, GERD, H pylori, helicobacter pylori, intestinal yeast overgrowth, leaky gut syndrome and stomach ulcer.
The information contained in these pages is not intended to take the place of your health professional's advice. It is derived from our clinical experience and may shed light on your health complaints. In case of serious ailments which may not respond favorably, please seek the counsel of a qualified health professional.
Our Privacy Policy
We pledge that any information submitted to our site will be retained in total confidence.
No names or other customer information will be divulged or distributed to any parties, businesses or organizations under any circumstances.
Web Site Hosted by SunStar Media © 1998-2021 All Rights Reserved
| |