Patient Registration

Please complete the following information to complete your registration!

In the future, we will use the assigned identification number for any examinations performed for you. Please select the program you wish to register for. If you are seeking microbiota restoration, please select "Microbiota Consultation." Our MicroBiome Run program is for those considering a complete lifestyle change and seeking medical support for this process.

Please provide a brief explanation in the "Message" section at the bottom of the Registration Form, detailing what issue you are seeking help for, who referred you, and which healthcare professional is supporting your decision to use our services.