Fully Online Consultation

With Dr. Gabriel Nicolaev – Nicolaev Medicine

Thank you for scheduling a consultation with Dr. Gabriel Nicolaev. To provide you with the best possible guidance, please complete this form before your session. Your responses will remain confidential and will help tailor recommendations to your specific health concerns.

Personal Information:

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Please describe your main health concerns or symptoms: *

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Lifestyle & Nutrition

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Digestive & Gut Health

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Hormonal & Energy Balance

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Detox & Environmental Exposure

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Are you frequently exposed to toxins such as: *

Additional Information

Do you have any allergies or food intolerances? *

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By submitting this form, I confirm that:
✅ I understand that this consultation is for educational and informational purposes only.
✅ I acknowledge that Dr. Gabriel Nicolaev does not provide medical diagnoses or treatments.
✅ I am responsible for any decisions I make based on this consultation.

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