Apply to Work with Dr. Britz

Dr. Britz is currently seeing clients via telehealth and in-person in Las Vegas, NV

Please complete the form below for your family member and you will be your submission will be reviewed by Dr. Britz and her staff.

This form is for those wishing to submit on behalf of a family member. Please use this form if that family member is pediatric, elderly or over the age of 18 with whom you have legal guardianship for. If the prospective patient is over age 18, you may need to provide evidence of legal guardianship.
We do not accept insurance, but can accept credit, debit and HSA. We suggest you review the rates prior to applying and you can do so here
Please note Dr. Britz is an ND (not a psychiatrist) and cannot prescribe medications.
If you are potentially interested in bioresonance, you can learn more about it here

Your Name

First Name

Last Name

Your Email

Patient's Name

First Name

Last Name

Patient's Birthdate

YYYY

What is your relationship to the patient?

How did you hear about Dr. Britz

Where is the patient located? (Dr. Britz sees clients globally)

Please list or describe the current health concerns

Has he/she ever been hospitalized in relation to these health concerns?

Please list any medications he/she is taking or wanting to discontinue, and the reasons they were originally prescribed

Are you currently working with any healthcare practitioners?

On a scale of 0-5 with 0 being "not at all ready" and 5 being "let's go!" how ready/willing is he/she to take supplements and change your diet?

When are you looking to get started?

Do you have legal guardianship of the patient?

I am aware of Dr. Britz rates/appointment costs

I am interested in bioresonance

I understand Dr. Britz is a naturopathic doctor and not a psychiatrist (and cannot prescribe medications)

I understand Dr. Britz is unable to accept health insurance, but can write a superbill if requested.