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First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Postal code *

What prompted you to reach out to me for help? *

What are your biggest challenges or obstacles with your health? *

Do you have a primary care provider or physician?

On a scale of 1 to 10, how committed are you to making changes in the areas of health and wellness? *

Are you looking for an overly structured/strict style of health goal planning, or does something a bit more flexible sound appealing to you? *

Yes

At this time, are you willing to make a premium investment in your health and wellness goals and a coaching program? *

Yes

Maybe

Do you have any reservations about joining a health and wellness coaching program? If so, please list them here! *

Is there anyone else involved in the decision-making process that needs to be involved on our call? *

Prefix Health Solutions LLC provides health and wellness coaching services performed by a registered nurse exclusively to residents of the states of the Nurse License Compact excluding AK, CA, DC, HI, IL, MA, MI, MN, NV, NY, and OR .

Our services are designed to support individuals in achieving their personal wellness goals through guidance and education, but they are not intended to diagnose, treat, or provide medical care for any health conditions. Coaching services are provided by a licensed nurse acting within the scope of practice of a registered nurse.

The content provided through Prefix Health Solutions is for informational and educational purposes only. It is not intended as medical advice, diagnosis, or treatment, nor is it a substitute for professional medical expertise or individualized care.

Our services are designed to support individuals in achieving their personal wellness goals through guidance and education, but they are not intended to diagnose, treat, or provide medical care for any health conditions. All coaching services are provided by a licensed nurse acting within the scope of a registered nurse, not as a healthcare provider.

I agree to be contacted by Prefix Health Solutions LLC