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

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, and does not simply react to a diagnosed illness. We call our methodology Precision Individualized Medicine, emphasizing that each person is unique and therefore, cannot be treated the same. Synthesizing epigenetics, gut microecology, genomics, biological age, and functional medicine, Terrain Health provides the roadmap to creating long-lasting health and wellness.

Completed this form before your initial discovery call?