Request a Patient Decision Review
Tell us about your clinic and the flagship service you want reviewed. This form is for Patient Decision Review enquiries — not Founding Partner checkout.
Enquiry
Tell us about your clinic. No payment is taken on this page, and this enquiry does not enrol you as a Founding Partner.
Applying for The Balance Clinic. Clinic details below are prefilled from this listing where possible — you do not need to re-identify the provider.
You indicated interest in a Patient Decision Review. We will include that request with your application. No payment is taken on this page.
Temporary application route: submitting opens your email client with a pre-filled message to hello@modernhealthindex.com. Nothing is saved on MHI until you send the email. Acceptance is not guaranteed.