Please complete the Questionnaire to book a Personal Consultation with the Brain Power Clinics' Team
Full Name
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Email
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Phone
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SMS Marketing Consent
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I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Dr. Robert Love. Message frequency varies, and data rates may apply. You can reply STOP to unsubscribe at any time.
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Have you been diagnosed with Alzheimer's or another type of dementia?
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Yes
No
Where in the United States do you live?
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Our clinic is in Florida. Are you able to travel to Florida to receive treatments?
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Yes
No
Our Chief Medical Officer is Dr. Josh Helman, a Medical Doctor trained at Harvard. OUR PROGRAM IS VERY EXPENSIVE and none of our treatment programs are covered by insurance. What’s your budget range from the options below?
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$10,000 Treatment Options
$50,000 Treatment Options
I can't afford this. Please send me free information
If you are interested in a paid treatment, Jessica from Dr. Love's office will be reaching out to you via TEXT & EMAIL. Are there any questions or concerns you’d like her to address?
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Anything else you want us to know?
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Brain Power Clinics LLC
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