Patient Forms 2018-02-13T18:32:06+00:00

ICCLI Program Questionnaires

ICCLI is where the medicine of the future is practiced today. Our pioneering programs aim to promote long-lasting weight loss, reduce the burden of high blood pressure, cholesterol abnormalities, diabetes, and help patients with heart disease avoid further deterioration and hospitalization. Many of the programs include personalized genetic testing, and functional medicine assessments and tests. Please, fill out our interactive questionnaires to begin exploring the powerful transformation of your health!

What Do I Need?

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Medical Symptoms

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Hormone Balance
Female

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Hormone Balance
Male

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Thyroid & Adrenal Function

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Sleep Apnea

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Carbohydrate Addict

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Toxin & Environmental Exposures

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"Dr. Druz was thorough, knowledgeable and very understanding. Her guidance and moving forward plan was on point and will enable me to increase my wellness."

- Kathleen W.