Request for a Private Consultation


Be kind enough to fill up the form below.
1. You can choose:
** To visit our office in Winter Park (FL)
** To consult by Telephone
** To consult using Skype (video or audio)
When calling long distance we recommend using SKYPE which can be downloaded at this address.
Skype offers a free audio service
and/or video if you have a webcam.
2. Answer this LifeStyle Survey located here
3. Make sure to send us a recent picture of yourself by e-mail.

When we receive this form and your Lifestyle Survey, we shall give you by e-mail our skype name (if you choose to use Skype).

Béatrice Duplantier-Rhea N.D., M.H., IIPA

 

 
Your Full Name
 
Your Telephone 
E-Mail address
 
Best time to reach you 
Choose below your preferred way to consult
By Telephone
 
Webcam (Skype) 
Office visit in Winter Park
     
Explain below your main Health Concern(s)
Expect the first visit to last approximately 1 hour