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Interested in Getting Your Health Score to Assess Your Health?

Your Next Steps

You are invited to answer some questions about how you’re currently feeling to get a glimpse of your health status. After completing the questionnaire, you will receive a Health Score, which will indicate how your health looks right now.

We have partnered with Living Matrix to provide our nutritional assessment forms. Living Matrix has collaborated with the Institute of Functional Medicine (IFM) to create an online application that automates the paper intake process. The goal is to allow you to complete health forms easily and for our office to access them in a simplified and organized manner. This allows us to offer you a quick health screen to help guide you on your journey to better health.

The Living Matrix platform is HIPPA compliant and secure. Thousands of private functional medicine practices throughout the country are using the Living Matrix portal.

step 1

It is advised that you complete this using a laptop or desktop computer. You may run into problems with the site if you use a device such as your smart phone or tablet to complete this screening questionnaire.

Click on the button below to register for Living Matrix. You will be asked to provide some basic contact information so that I can get back to you with your questionnaire results.

step 2

Complete the questions as thoroughly as you can and click ‘Submit’. 

Once you click Submit, you cannot change any answers.

step 3

Schedule a free discovery call to discuss your results with one of the providers on our team.

Please keep in mind the following strict policy that I follow:

  • This registration is for my Living Matrix professional account ONLY
  • Your contact information is for us only so that we can view your questionnaire and respond with your results
  • This is a completely free service whether you book an appointment with Revitalize or not
  • This is used solely as a tool to understand your current health and see where you can go from there
  • We do not send spam emails
  • We respect your privacy and do not sell any email addresses
  • You can be de-activated from my Living Matrix account at any time


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Revitalize Medical Group

Fairlawn Office:
3634 West Market Street
Suite 104
Fairlawn, Ohio 44333
Call: 855-829-8315
Fax: 330-835-4261

Monday-Thursday 8 AM—4:30PM
Fridays 8 AM—Noon



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