Remote Functional Medicine Program

Remote Functional Medicine

This is a form to request a virtual Functional Medicine appointment. We have limited spots and follow up with requests in the order received.

First Name *

Last Name *

Phone *

Email *

Your City *

Who is this inquiry for? *

My child

Myself

Another family member

Your Child's Name *

Patient's Age *

What are the primary challenges you are seeking help with? (Select all that apply) *

When would you like to begin? *

As soon as possible

In the next 1-3 months

In 6 months or more

Next year

How did you hear about Infinity? *

What specific questions do you have for us?

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Infinity.

TESTIMONIALS

"Dr. Josh is exceptionally intelligent at his craft."

- Nicole S.

"Dr. Josh Madsen unlocks the mysteries of automatic infant movements that are essential for survival but problematic when retained."

- Dr. Conner F. BOR, D.C., DACNB

"Taking our son to see Dr. Josh was one of the best decisions we ever made! "

- Jessica M.