AN INVITATION 

Free Initial Consultation

 We offer a free initial consultation for those looking for solutions to chronic health issues.  Fill out and submit the application form below for a free consulting session and we will contact you. The preliminary information will help us both to get the most from the session.

Thank you,

Marty Gronewald FMHC 

Please note that fields with names with an asterisk (*) suffix are required, and must be filled out in order to submit the form. If you don’t have know how to answer, please enter “I’m not sure,” in the required field. 

    1. Client Info

      Gender*:

    2. Concern(s)

    3. Disclaimer

    Revitalize Restore (RR) provides holistic health information and diagnostic and consulting services for educational and coaching purposes only.

    We are not medical practitioners. We do not, nor do we claim to, diagnose, prevent, treat, or cure any disease or medical condition. For medical solutions to medical diseases, only licensed medical practitioners should be consulted. The content on this website has not been reviewed or approved by the FDA, or any medical organization.

    We believe that our bodies know how to heal, that only the body can heal the body, and for healing to occur, certain healing conditions are necessary.

    In our opinion, the quickest way to overcome an injury or dysfunction is by removing debilitating stresses, sources of injury and imbalances, and to optimize conditions that promote healing.

    RR’s sole focus, therefore, is to educate, help identify what may be blocking the healing process, and to naturally support energy, balance, function and the body’s own natural healing processes.

    All data submitted will be treated confidentially. Any retained personal data will be stored according to the HIPAA data protection requirements.

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