Fill out a detailed, women-specific health history form to help me understand your unique story—physically, emotionally, and hormonally.

By looking at the full picture of your health, lifestyle, and life stage, I can offer personalized support aligned with your body, goals, and rhythms. Your answers guide our work together, so you feel seen, supported, and empowered from the very start.

Your privacy is important. This form is password-protected to ensure your personal information stays secure. Submissions are viewed only by me and are never shared. To request access, simply click here to email me.

A small campfire surrounded by rocks in a wooded area with logs nearby.

Remember, your fire hasn’t gone out. It just needs to be nourished and protected.