Skip to content
Skip to content
Schedule A Session
Home
How I Work
Testimonials
Dr. Werner’s Page
Search
Booking Form
Select date*
Loading…
Powered by
Booking Calendar
07
–
Available
07
–
Booked
07
–
Pending
ยท
07
–
Partially booked
07
–
Unavailable
Select Time*
10:00 AM – 10:15 AM
10:15 AM – 10:30 AM
10:30 AM – 10:45 AM
10:45 AM – 11:00 AM
11:00 AM – 11:15 AM
11:15 AM – 11:30 AM
11:30 AM – 11:45 AM
11:45 AM – 12:00 PM
3:00 PM – 3:15 PM
3:15 PM – 3:30 PM
3:30 PM – 3:45 PM
3:45 PM – 4:00 PM
4:00 PM – 4:15 PM
4:15 PM – 4:30 PM
4:30 PM – 4:45 PM
4:45 PM – 5:00 PM
7:00 PM – 7:15 PM
7:15 PM – 7:30 PM
7:30 PM – 7:45 PM
7:45 PM – 8:00 PM
8:00 PM – 8:15 PM
8:15 PM – 8:30 PM
8:30 PM – 8:45 PM
8:45 PM – 9:00 PM
Next
First Name*
Last Name*
Advocate’s Name*
Address
Phone
Email*
Name of Primary Care Physician
Primary Care Physician Address
Primary Care Physician Phone
Primary Care Physician Email Address
Specialty Physicians or Health Care Professionals
Address
Phone
Email
Preferred Hospital or Medical Center
Insurance – PPO
Insurance – HMO
Reason for Inquiry
What do you hope to gain from our sessions?
I understand that our sessions are educational only and that Dr Werner will not diagnose, treat, or prescribe for my medical condition. Our relationship is that of a teacher and student and not a doctor and patient.
Back
