Name *

First Name

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Area of Interest

Select all that apply.

Women's Group

Psychotherapy

Visionary Plant Medicine Integration

Somatic Trauma Healing

Client Application

I have submitted my client application.

Yes, I have.

No, I still need to do that.

Insurance

My services are not in network with any insurance panels.

I have out of network coverage.

I want to pay privately.

Sacred Plant Medicine Facilitation

Please confirm that you understand that I do not offer any guided work with sacred plant medicines. Please do not reach out to me if this is what you are seeking.

I confirm