Client Forms

Initial Consultation

There are a number of documents that you will need to read, fill out and bring into our initial consultation. The paperwork required for Minnesota and Wisconsin is different, so I have set up separate files, which are accessible by passwords, for your documents. When you call me to set up your initial appointment, you will get the document password so you can access your new patient documents. Please print out all of the documents and bring all of them to your first appointment. Please call or e-mail me if you have any questions about these documents or the requested information.

The initial consultation will take about three hours. Please plan to return for the first follow-up appointment about 4 to 5 weeks after you start on your remedy. You will need to return for further follow-up appointments about every 5-7 weeks after that for at least 9 months. People who get the best results follow this plan.

Minnesota clients please enter here Minnesota
Iowa clients please enter here nunst022
Wisconsin clients please enter here Wisconsin


Online Deposits and Payments

Online deposits

You will need to make a deposit of $100 to confirm your appointment for the initial consultation. Note that your appointment is not confirmed until you have paid this deposit.

For your convenience, you may make this deposit online by credit card by using PayPal. You do not have

to have a PayPal account to use Paypal and PayPal will not charge you for the transaction. If you do not have a credit card, you may make a Paypal payment by having the funds withdrawn from your bank account. (I’ve used Paypal for many years

now for purchases and can recommend them wholeheartedly. If you have never used Paypal, you may be surprised at how easy it is to use.)

If you do not wish to make your deposit online, please mail your deposit to me to confirm our appointment time.

I will hold your appointment for five days after we set it up. If your deposit is not received within that time-frame, the appointment will be cancelled. Please contact me if this presents a problem for you.

If you need to cancel your initial appointment, please call me at least 48 hours before the appointment in order to have your deposit refunded (minus a 10% processing fee if the deposit is made by Paypal). Cancellations within 48 hours of your initial appointment are not refundable (if you simply need to reschedule your appointment, I will

hold your deposit).

To pay, click on the PayPal deposit button and follow the directions in the PayPal window. After completing your payment, you will receive a notification email from indicating that you have paid me using PayPal. Paypal also sends me a notice that you have made your deposit and your appointment is then confirmed.

How to pay for consultations online

If you wish to pay for your consultation by credit card, you may also pay online by using PayPal. To pay, click on the PayPal button associated with your payment and follow the directions in the PayPal window. After completing your payment, you will receive a notification email from indicating that you have paid me using PayPal.

If you are paying for the entire consultation before our appointment, please print out your receipt and bring it to our consultation as proof of payment. Also note that payment for services is due at each appointment. I do not do payment plans or delayed payments.

Click HERE to pay online.

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