Submit a Patient Inquiry

Tell us about your health goals and we'll connect you with qualified lifestyle medicine providers.

Emergency Notice

If you are experiencing a medical emergency, please call your local emergency services (911 in the US) or go to your nearest emergency room immediately. This platform is not for urgent medical care.

Full Name *

Email *

Phone (Optional)

Preferred Contact *

City *

State *

Country *

Main Goal/Concern *

Additional Details (Optional)

I understand this is not medical advice and not for emergencies. I acknowledge that LM Connect is a connection platform and does not diagnose or treat medical conditions.

I consent to share my information with matched providers. My contact details and health goals will be shared only with providers selected for my inquiry.

Privacy Notice: We collect your contact information and health goals to help connect you with appropriate lifestyle medicine providers. Your information will only be shared with providers you consent to be matched with. You may request deletion of your data at any time by contacting us. We do not sell your personal information to third parties.