Prospective Patient Questionnaire

Terrain Health practices individualized, precision medicine.

To be successful, the provider-patient relationship must be a good fit. In order for our team to determine if we are a good fit for each other, please answer the questions below.

Our team will review your responses and let you know if we think a relationship is beneficial.

Prospective Patient Questionnaire

Name(Required)
Email(Required)
Our Mission: Terrain Health was created to transform the current standard of healthcare delivery in America. We practice disease prevention instead of disease suppression. Terrain Health proactively educates and treats patients to prevent chronic conditions. We are a longevity clinic practicing precision medicine, treating each patient’s unique biochemical individuality so that treatment and interventions can be tailored to each persons specific needs. Synthesizing epigenetics, gut microecology, genomics, biological age, and systems biology, Terrain Health provides the roadmap to creating long- lasting health and wellness.
This field is for validation purposes and should be left unchanged.

Completed this form before your initial discovery call?

Book your discovery call here