Magnetic in Medicine Podcast Pre-Interview Form (Page 1/6)

Magnetic in Medicine Podcast

We’re so excited to have you as a guest on the Magnetic in Medicine podcast with Allie Chandler! This form helps us prepare for a valuable, engaging conversation that will serve both practitioners and patients in the functional medicine community. There are 6 parts to this application, so please make sure you complete them all and reach the final confirmation page in order for our team to receive your submission. Once you complete and submit a section, your progress will be saved up to that page. 

Please note: By being on the Magnetic in Medicine podcast, you also gain access to a secret community of business and wellness brands, as well as the build of our future patient/practitioner/brand matchmaking hub. So this information is really valuable, and will also help you be matched to new clients and customers in the future! 

- Allie Chandler

Basic Information
This will include your contact details, business information, and social media.
(For day-of coordination)
Business Information
Social Media
Please enter your main profiles.