SAFM Student Enrollment Call - The School of Applied Functional Medicine

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Name(Required)

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Email Address(Required)

How do you believe SAFM’s programs will equip and inspire you to achieve the shift you’re seeking in your professional journey and/or in the way in which you serve your patients or clients?(Required)

What challenges are you currently facing in your practice or overall career and how do you view SAFM being a part of the solution?(Required)

We know your plans may change; we’re simply looking to understand and support your vision.

In the future, do you anticipate using your resilient capability and confidence in applying functional medicine principles to change your professional role or to work in a different type of practice or business model?(Required)

Please explain either way.

How long have you been in active professional practice using your license or certification?(Required)

How many patients or clients have you supported in the last year (not including pro bono work or family members)?(Required)

We would love to know more about your functional medicine learning to date.

Please select all relevant functional medicine education and insight you have already experienced.(Required)

Check all that apply.

Since you selected 'Other', please share:(Required)