<?php echo do_shortcode('[pdb_signup fields="first_name,last_name,email,concerns_and_conditions,main_goals,medical_history,medical_history_details,surgery_history,broken_bones,major_accidents,acute_or_chronic_pain,under_treatment_therapy_intake,prescription_medication,non_prescription_medication,health_supplements,digestion,bowel_movements,urination,gas_or_bloating,nutrition,breakfast_time_and_types_of_food_,lunch_time_and_types_of_food_,dinner_time_and_types_of_food_,snacks_time_and_types_of_food_,eating_disorders,allergy_history,drinks_per_day,water,non_caffeinated,caffeinated,alcohol,addiction,energy_level,stress_level,stressful_situations,ways_to_release_stress,feel_rested_after_sleep,feel_rested_after_sleep_details,sleep_hours,breathing,state_of_mind,spiritual_life,physical_activity,physical_activity_details,life_balance,physical_exam_date,blood_pressure,cholesterol,height,weight,weight_history,yoga_experience,yoga_frequency,yoga_beneficial,yoga_challenging,yoga_injuries,meditation_experience,meditation_details,meditation_frequency,meditation_beneficial,meditation_challenging,therapy_intake_comments,therapy_accept_terms"]'); ?>

[pdb_signup fields=”first_name,last_name,email,concerns_and_conditions,main_goals,medical_history,medical_history_details,surgery_history,broken_bones,major_accidents,acute_or_chronic_pain,under_treatment_therapy_intake,prescription_medication,non_prescription_medication,health_supplements,digestion,bowel_movements,urination,gas_or_bloating,nutrition,breakfast_time_and_types_of_food_,lunch_time_and_types_of_food_,dinner_time_and_types_of_food_,snacks_time_and_types_of_food_,eating_disorders,allergy_history,drinks_per_day,water,non_caffeinated,caffeinated,alcohol,addiction,energy_level,stress_level,stressful_situations,ways_to_release_stress,feel_rested_after_sleep,feel_rested_after_sleep_details,sleep_hours,breathing,state_of_mind,spiritual_life,physical_activity,physical_activity_details,life_balance,physical_exam_date,blood_pressure,cholesterol,height,weight,weight_history,yoga_experience,yoga_frequency,yoga_beneficial,yoga_challenging,yoga_injuries,meditation_experience,meditation_details,meditation_frequency,meditation_beneficial,meditation_challenging,therapy_intake_comments,therapy_accept_terms”]