Become A Client
To become a client of Chen Ben Asher, please follow these steps to apply:
- Read the section entitled “Q & A” Make sure you are familiar with all of the procedures and fees before you apply.
- Fill out the applicant forms below ( 3 or all 5 forms, as specify by Chen Ben Asher). If you have a recent blood test from the past 6 months, please attach it as well.
- Within 48 hours after you submit your application, we will contact you to schedule your initial phone/video consultation.
- Please email the completed forms to: firstname.lastname@example.org
- Please make sure you provide a phone number as well, so we can communicate with you.
NT Assessment Form
Brain Function Assessment
Brain Health & Nutrition
Authorization & Disclaimer