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Treatments
Emotional Wellness
Peptide Therapy
Hormone Testing
Symptoms
Breast Tenderness
Weight Gain
About
Press
Contact
New Patient Application
Blog
617-431-6140
Info@arcaraaccess.com
New Patient Application
1. Contact Information:
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First Name
Last Name
Email
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Age
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2. What are your top 2-3 health concerns or goals right now?*
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3. How have you already tried to improve your symptoms?*
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4. Why are you seeking a more personalized or holistic approach now?*
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5. Are you ready to invest time and energy into your health over the next 3 months?*
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Yes, I’m ready now
Maybe, I’m still exploring
Not sure yet
6. Are you open to out-of-pocket care (not insurance-based) if the value feels right for you?*
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Yes
No
Not sure
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