A message from Dr. Ted Barnett, President of Rochester Lifestyle Medicine Institute
We greatly appreciate your taking the time and effort to apply to run our 15-Day Whole-Food Plant-Based Jumpstart. As you proceed, please rest assured we are acting in the spirit of cooperation, to ensure that we have an optimal fit. We are most interested in developing relationships with practitioners who personally follow and prescribe a completely whole-food plant-based lifestyle.
If you have any questions regarding us or the application process, please contact us at (585) 484-1254 or email@example.com. Thank you.
Please read and print
for your records:
Please complete the adjacent questionnaire and proceed to the checkout page.
In order to complete this form please have your State License Number available.
The application fee is $250.
The application fee will be refunded if your application to run our program is declined.