Become A Patient

At ProActive Natural Medicine, we enjoy hearing from our patients, the community and healthcare providers. Please feel free to contact us for any concerns, comments or questions regarding chronic wellness issues. Feel free to schedule your New Patient consultation today and meet our team!

Start Your Journey Back To Health

At ProActive Natural Medicine we believe that education, solutions that promote self care, and personal accountability are the tools to achieve your best health.

Please take a few minutes to complete the questions below so we can maximize our time together during this discovery call.

It is likely that we may have additional questions and may reach out to you directly.

Our mission is to provide you with simple, strategic and practical solutions that address the root cause of your health concerns.

We look forward to meeting you and starting this journey.

Application For 20-Minute Free Discovery Call

Please answer the questions as thoroughly as possible so we can know more about your current situation.

Our goal is to deliver the highest level of service and only work with applicants that we can build a relationship with and who are the right fit for our practice as well.

We are looking forward to getting to know you and partner with you on your healing journey.

What's your first name? *

What's your last name? *

What's your best phone number? *

What's your best email? *

How did you hear about ProActive Natural Medicine? *

What are your top health concerns that you would like us to help you overcome?

Why is this goal important to you, and what do you think is stopping you from accomplishing it?

Do you consider yourself coachable? *

Do you have a supportive spouse, significant other, or friend to support your personal goals? *

Who else have you worked with? *

Functional Medicine Practitioner
Medical Doctor/Osteopathic Doctor
Medical Specialist
Naturopathic Doctor
Traditional Chinese Medicine
Nutritionist/Dietician
Personal Trainer
Chiropractor
Personal Development Coach
Other:

What functional lab testing have you done previously? *

Functional Stool Testing
Organic Acids Testing
Adrenal/Cortisol Testing
Genetic or Genomic Testing
Hormone Testing
Food Sensitivity Testing
Heavy Metal Testing
None
Other

Considering your past treatments, what would you like to improve or do differently moving forward?

Are you willing to do what's necessary to reclaim your health? (This may include dietary modifications, functional lab testing, lifestyle and environmental modifications, etc) *

If we can find a root cause solution, are you willing to invest a few thousand dollars over the next year in order to restore your health? *

Yes, I am ready & able to invest in my health now.
No, I'm not able to at this time. I have other priorities.

I understand ProActive Natural Medicine is not contracted with any health insurance company *

Yes, I understand that ProActive Natural Medicine is not contracted with any health insurance company.
Unfortunately, I need a clinic that will take my health insurance for all doctors visits.

If you are NOT the sole financial decision maker please confirm your spouse, significant other, or parent(s), etc. will be on the Discovery Call with you: *

Yes, I will have them on the phone call with you.
No, I can't have them on the call with you.

In your opinion, what makes you a good fit for our practice? *

Website

Testimonials From Patients

“He is brilliant with supplements and nutrition”

I've been utilizing the gifts of Dr Paul Mikulski for appx 15 years now and refer all my friends to him. He tailors treatments for you using Functional and Chiropractic Medicine. Many times an issue is grounded not just in the muscles but also in what you are consuming. I wish medical doctors would study more on the impact of nutrition on the body.

“Thank you Dr. Paul for everything you have done for Rich and our whole family!”

My husband no longer has to take his diabetes or thyroid medicine because of Dr. Paul's lifestyle changes and all natural remedies. He is 58 years old and in the best shape of his life!!

“Dr Paul is great. He provides so much information on nutrition and is into functional medicine.”

He is very knowledgeable on autoimmune diseases and treatment plans that are natural. He takes time with each patient. He works with them to get the right treatment plan.

Facebook Instagram Twitter Linkedin