Email your DD214 to:  Shaunnesy@wellness4warriors.org
As proof of eligibility, please submit your DD214 form. Your information will be reviewed, and we will contact you if we need additional information.
Our goal is help veterans with natural alternatives.

Help and healing for our veterans

(C) 2017, Wellness 4 Warriors

VETERAN QUALIFICATION (Pre-Qualification form below)


If you are a United States veteran and are seeking help through natural methods, please complete and submit the form below.  

 *Please provide all your answers in the COMMENT SECTION*

 How did you hear about Wellness 4 Warriors?  (Facebook, Website, etc.) 


 Health challenges: PTSD, TBI, Pain, Sleep Apnea, Insomnia, Diabetes, Neuropathy, Pain, etc 

 Do you have a electrical stimulator anywhere in your body? 


 Do you currently have: 
- Water Filtration in your home  (what kind) 
- Air Purification  (what kind) 
- What size bed  (this is for the possibility of providing a sleep system) 
- Would you wear Magnetic Gel Insoles if provided?

We are aware that some people present themselves as veterans, that were never enlisted and/or never served. Stolen Valor is a federal crime and is  something we take very seriously. 

Wellness 4 Warriors II

VETERAN PRE-QUALIFICATION FORM