BIA® Case Review

BIA^® Case Review

Order Form

BILLING DETAILS: To simplify matters, Dr. Martin bills by the minute for all consults except for prepaid consults.
His rate for face-to-face consults is $4.95/minute but telephone / email consults are only $2.95/minute.
You will gain 45+ years of insight, experience and wisdom from Dr. Martin regarding your client.
You will receive an invoice immediately after your consult.

Please be sure that the Client File has been created and data submitted prior to submitting this order.
You will need the Client File # to complete the form below.

Practitioner Name*
First Last
Practitioner Account ID
Practitioner Email*
Client Name*
First Last
Client File #*
Main Symptoms
Agree to pay with two-credit deduction from account?
Your Questions
Place questions here. We will call you to set a time for Dr. Martin to contact you about this client.

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