Book a Free Discovery Call

Please complete the form below, answering all questions as honestly and openly as you can.

 
 
Name *
Name
HEALTH HISTORY
Do you have epilepsy, seizures, serious mental health issues or severe asthma? *
Are you taking any medication for mental health related issues? *
Have you ever been diagnosed or treated for a serious psychological or mental health issue? *
GOALS AND DESIRES
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Please book your discovery call here. Once you have completed the booking you will receive an email confirmation for the appointment. Within the appointment will be a link to the zoom meeting room we will conduct the discovery call over.