Thyroid Disease Risk Evaluation

If you are concerned that you might be experiencing some of the symptoms of thyroid disease, or even if you have been medically diagnosed and are on medication, this form will help us evaluate your risk, as well as the potential for being able to not only manage your symptoms with safe and natural treatments, but actually overcome your condition.

Check all that apply. Then hit “Submit” and this form will be evaluated by the doctors at Zeal Integrated Health. You will be contacted with the results.

Please Check All That Apply: