Apply for the Starter Package

Step 1: Review the Service Offering & Fees

To get started, please first review the information in Dr Cindy de Villiers and Terms and Blog to see if the clinic will be a good fit for you.

Registering as a new client begins with a NZ$1,272.50 pre-payment for:

Initial brain health assessment. The relativity of scores measured over time is useful for identifying cognitive interventions i.e. a high score in any individual test isn’t a measure of capacity and that’s not what it’s about. See Brain Health for more information.
1 hour ph360 assessment by Rose Middleton (MN and ph360 endorsed coach) and One Year ph360 Full Access. The ph360 program is a useful means to commence discussions with the clinic around objective data, with some initial interventions usually identified.
1.5 hour first consult with Dr Cindy de Villiers
1 hour followup consult with Dr Cindy de Villiers
Setup admin including NHI lookup for access to funded pathology tests

Depending upon complexity of presentation, clients may additionally elect to fund diagnostic Test Kits & treatment supplements etc (the clinic does not materially profit from Test Kits or the sale of supplements).

Cindy & Rose specialize in treating complex presentations with a series of consults and a variety of treatments and so one-off appointments for new registrations are not provided.

Cindy & Rose need to see clients in person at the Nelson clinic for the first appointment; subsequent followups may be via Zoom or whatever is most convenient.

Initial 2.5 hour consults with Cindy & Rose are typically available within 1 month from accepted application.

Please only apply in the event you will be ready to begin treatment as a client in the next few weeks for outcomes over the subsequent 3 month time-frame.

Registration may be tuned and pre-payment allocated towards other services during consultations with Cindy & Rose.

Unless by prior written arrangement, any unused balance on pre-payment at the end of 1 year from date of purchase is forfeited.

Refund Policy: non-refundable.

Step 2: Apply

Next step, please apply to the clinic by submitting the form below - just what springs to mind within 10 minutes.
The intention of the form is to be effective and fulfilling and it isn’t a tick box exercise.

Name *

Name

First Name

Last Name

Phone *

Email *

Are you answering these questions yourself or did you have assistance? *

We ask that the client personally fill out this application as it gives us more accurate information and helps us to understand the degree of motivation for treatment.

What is your date of birth (DD/MM/YYYY)? *

What region/city do you live in? *

What are you seeking help with? Please provide details. *

Are you interested in reducing medication and do you have any fear around reducing medication? *

Do you have diagnosed medical problems? Please list them. *

Have you previously consulted with an integrative/functional doctor or natural health practitioner about these issues? *

Please discuss your motivation for achieving optimal wellness with this treatment. Are you ready to begin implementing lifestyle and dietary changes? *

Do you eat animal products? *

Treatment without any animal based nutrition is more complex.

Are you prepared to undertake fasting and a Low Carbohydrate diet which excludes pre-prepared foods? *

Do you have a spiritual belief and/or practice meditation? *

Who is a part of your support system? Are your parents, siblings, or partner supportive of your choice for this type of treatment? *

Are you willing/able to take dietary supplements when indicated? *

Are you available for monthly follow-ups in the first 2-3 months of treatment? *

Are you able to pay for your own sessions or will someone else be covering the cost? Are you able to pay for testing and the monthly cost of supplements? *

All payments are by online credit/debit card using www.stripe.com

All patient communication, appointment scheduling and routine interactions are managed using our online patient portal. Will you be able to access this on a computer, tablet or smartphone? *

I acknowledge I have read, considered and understood the provided registration information and that the next steps will be a review by Cindy and Rose of the information provided, then (assuming a good fit between services and requirements) thereafter (before the first consult) a $1,272.50 pre-payment by credit card and completion of 2 online questionnaires. *

Please note the clinic is unable to confirm a time for the first appointment without a credit card. The online questionnaires must be completed before the first consultation for Medical Council compliance and so Cindy can prepare for you.

Check to Confirm