Application-Total Health Concierge Services

Please fill out the following information so that we can get to know you! After completing the application, you will be redirected to a scheduling link to book a call to discuss options and provide you with additional information on the services that would fit best for your needs. 

Application to work with Dr. Pingel. Please answer the following questions so we can discuss best options specific to your individual health needs.
Once you have completed the application you will be automatically directed to a scheduling page to book a call to review your application.
1 being very low energy
10 being abundant
1 being lowest
10 being amazing
1 being poor
10 being amazing
1 = NOT AT ALL
10 = I'M 100% COMMITTED!
Yes
No
Thank you! Please keep an eye on your email! You will now be redirected to a scheduling link.
Your next step is to schedule a call to go over your answers in order to gather additional information to ensure we are able to accurately guide you towards your best options!