Follow-Up Interview - Pro REVIEW INITIAL INTERVIEWDoctor's Name: Date MM slash DD slash YYYY Review Supplement Protocol Options Revitalize Health Non-Supplement **Must Follow Program Structure Custom Supplement Protocol Custom Supplement DescriptionReview Program Structure - (30 days of dietary transitions/detox/food reintroduction) Agree Custom Structure Custom Structure DescriptionAdditional Add-On List 21 or 28 Day Detox Timing 14 Day Dietary Transitions Coaching Switch - Button gives choice of coaching ($500) Supplement Switch - Button gives choice of RH Protocol or Non-Supplement Version ($500) Interview ChecklistReviewed: Appointments & Labs in a Virtual Program Selling Program in ROF Extra Classes & Office Visits Additional Notes for Development Staff