Request private consideration.

Dr. Kristal intentionally works with a limited number of clients, so that each one has her full attention.

Take your time. There are no right answers. Everything you share is read by her personally and held in confidence.

Your application

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Name

Phone

Age

What would you most like to change about your health or lifestyle?

What have you already tried?

What is currently getting in your way?

Why does making this change matter to you now?

Are you interested in specialized post-bariatric support?

Yes — I am interested in Bariatric Private 90 No I’m not sure

Detailed health history is collected only later, if appropriate, through a separate private intake process. Please do not include medical records or detailed clinical information in this application.

Are you currently under the care of appropriate healthcare professionals?

Yes No I am not sure

What type of support are you looking for?

The 90-Day Foundation Private 90 Bariatric Private 90 I would welcome Dr. Kristal’s recommendation

How ready are you to actively participate in changing your habits?

Curious Seriously considering it Ready Fully committed

What would success look like 90 days from now?

Is there anything else Dr. Kristal should know before considering your application?

I understand that this is wellness education and coaching, that it does not replace medical care, and that I should not include detailed medical records in this application.

Submitting an application does not guarantee acceptance into a private engagement. If there appears to be a strong potential fit, you will be contacted regarding the next step.

Thank you for sharing your story.

Your application has been received.

Dr. Kristal personally reviews private-client applications. If it appears that there may be a strong fit, you will receive an invitation to schedule a private conversation.

Until then, thank you for trusting us with a little more of your story.

Kristal

Dr. Kristal Vance

Private Health & Lifestyle Strategy

DrKristalVance.com

About Private Engagements Bariatric Private 90 Body Balance 90 Apply

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Educational and coaching services offered by Dr. Kristal Vance are not a substitute for medical diagnosis or treatment and do not replace care from your physician or other licensed healthcare providers. Please maintain appropriate relationships with your healthcare team and consult them before making changes to your health routine.