Bloodwork + Appointment Application -Raven's Moon

Bloodwork + Appointment Application

**Please read in full before applying**

What's Included:

The cost for this service is $575 and includes full blood labs and a 60 minute appointment (it is an all inclusive cost, you will not pay anything to the lab). During our appointment, we will go line by line discussing every number outside of functional range. Lifestyle and dietary recommendations will be discussed during the call, and specific herb or supplement support may be recommended (but a full regimen is not included).

-The full bloodwork panel includes 73 markers includng a full thyroid panel, CBC, Lipid Panel, Iron Panel, Vitamin D, Magnesium, Calcium, several specialty markers and a full urinalysis.

*It's important to know that this service does not include email support - this service is for individuals not interested in ongoing care.

Important Details:

-Blood labs are drawn at any LabCorp location. Please make sure you are near a LabCorp prior to applying (check https://www.labcorp.com). You must be in the United States and not located in NY, RI, or NJ.

-Bloodwork services are generally reimbursable through HSA accounts but please check with yours to be sure if this is something you would like to utilize.

-If you have additional questions, there is a box at the bottom of the application, please list them there.

-Please remember that none of the information provided through functional bloodwork is diagnostic and will be for informational purposes only. If you have complex health issues or feel you need ongoing support, this service is NOT right for you.

-Please apply with intention, if you are chosen to move forward, you will be sent further information on how to purchase. There are NO refunds available.

If you already have bloodwork:

I can review outside bloodwork if it was run within the past 3 months. The cost is $350 - this includes my time to review the bloodwork, and a 60 minute appointment to review the results.

First and Last Name

Date of Birth

Where are you located (city/state)?

Have you confirmed there is a LabCorp within driving distance and that you are not located in NY, RI or NJ?

Yes

I am bringing bloodwork from an outside practitioner

Do you have a diagnosed medical condition(s)? If so, what?

Are you taking any medications or supplements? If so, what?

Are you working with any other practitioners?

When was the last time you ran your bloodwork?

Have you ever had bloodwork markers that were out of range? List them below (it's ok if you're not sure).

What are your main hopes or goals for running bloodwork with me?

Any other questions or comments?

I understand that this service does not include email support or ongoing care

Depending on the number of applications I receive, I may not be able to respond to every applicant. If you've been accepted, you will hear from me within 10 business days. Thank you!!