Apply for R2R

I have read the following and agree:

By submitting this application, I confirm that I am are serious about joining Road to Remission and are prepared to invest in the program if accepted.

What is your worst IC symptom? (may choose more than 1)

What have you tried in the past to lessen your IC symptoms?

Have you been diagnosed with any of the following:

Do you have Hunner's lesions?

YesNoI'm not sure

Do you have 3-6 months to dedicate to investigate your root cause? (Joining 1 group coaching call per week, spending 1-2 hours watching education classes, tracking your symptoms, implementing nervous system practices daily)

YesNo

R2R was created to support you in identifying your IC triggers & minimizing your IC symptoms. Knowing it will require a time, emotional & financial investment, how prepared are you to take action now, & invest $3,497 to transform your health & life?

I have access to the financial resources to invest in my health right now and I'm ready to get started (Pay in Full $3,497)I have access to the financial resources to invest in my health right now and I'm ready to get started (3 Month Payment Plan of $1,175)I have access to the financial resources to invest in my health right now and I'm ready to get started (6 Month Payment Plan of $600)I have access to the financial resources to invest in my health right now and I'm ready to get started (8 Month Payment Plan of $475)I am interested in using Affirm (US residents only, plans start at $120 per month) to invest in my health right now and I'm ready to get started

How would you like me to reach out to you with next steps?

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If email is your preferred form of communication, please make sure to check your spam folder if you do not hear from me within 2 business days. As sometimes emails end up in spam! If social is your preferred method, please check your "requests" folder.

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