Get Started Intro – Hoag Functional Medicine

Thank you for your interest in joining the Hoag Functional Medicine program.

Please review the following before you proceed with our onboarding questionnaire.

Our Program Launch Fee is $975 and includes

1 hour review of your Living Matrix Timeline
Gathering past medical history, reviewed by FM team
1 hour nutrition review with Functional Nutritionist
1 Hour Food Plan & Diet guidance with Functional Nutritionist
Collecting all data and formulating a personalized plan

Labs are out-of-pocket and typically range between $1,500 - $3,000.

Hoag Functional patients are typically in our program for 10 months. Our goal is to empower you with the tools and habits you need to manage your health.

Which of the following conditions do you seek help with? (Select all that apply)

Which of the following conditions do you seek help with?(Required)

Have you seen a Functional Medicine doctor in the last 12 months?

Have you seen a Functional Medicine doctor in the last 12 months?(Required)

Yes

No

Personal Details

Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth

Zip Code

Gender

How Did You Hear About Us?

Best Contact Time

Notes

Become A Patient

Thank you for your interest in joining the Hoag Functional Medicine program.

Please review the following before you proceed with our onboarding questionnaire.

Which of the following conditions do you seek help with? (Select all that apply)

What topics are you most interested in learning more about? (Select all that apply)

Have you seen a Functional Medicine doctor in the last 12 months?

Which of the following add-on's would you be interested in?(Select all that apply)

Personal Details