Name *

First Name

Last Name

Have you worked with a health coach before or taken any holistic health courses? *

Yes, I've worked with someone

Yes, I've taken a course

No, I have not worked with someone or taken any courses

How long have you been CONSISTENTLY implanting the "pro-metabolic" foundations mentioned above? *

I'm still working on getting the foundations down

Less than one year

1-2 years

2-4 years

5+ years

What percentage of the foundations do you believe you're following? *

90% or more

75 - 90%

50 - 75%

Less than 50%

Which functional labs are you interested in ordering?

If you are just wanting my recommendation, just leave this blank

HTMA

GI Map

DUTCH (hormone panel)

A single lab test with analysis, interpretation, and a personalized protocol delivered via video presentation costs around $500, depending on the specific test ordered. By submitting this application, you acknowledge that you are ready to move forward with testing from a financial perspective. *

I understand

By applying for functional lab testing, you understand that Emmalee reserves the right to refuse testing based on what she believes is best for where you are in your healing journey. *

If Emmalee does not believe you are a good candidate for functional lab testing at this time, you will receive notice via email.

I understand

By applying for functional lab testing, you acknowledge that Emmalee is not a medical provider and functional test results, interpretation, and protocol are not medical advise; as such, they should be received as educational material only. *

You will be required to electronically sign a no-medical-advice disclaimer before receiving your results.

I understand