We'd love to hear from you!

Contact Information

Do you have a physical or mental illness?

Are you currently being treated by a doctor or therapist?
If so, for what?

Do you use medicines and/or alternative medicines?
(also nasal spray or painkillers)

Do you have an addiction? (Alcohol/Drugs/Other?)

Do you have experience with entheogenic agents?

Would you like to tell us more about your motivation to participate in a session? what would you like to heal or what insights would you like to get

What is your preferred dates?

I would like to participate in

or I first want information about

Other note

I found you through? Or have I been referred by?