Thanks so much for your interest in SYNCHRONY!
Please fill out this form below so we can understand more about you and your interest in this experience. If you have any questions, please feel free to
email us.
If yes, please share some of your experience.
(e.g., heart disease, hypertension, diabetes, epilepsy, or respiratory issues)
If yes, please list them, including dosage and frequency.
(depression, anxiety, PTSD, bipolar disorder, schizophrenia, or other diagnoses)
(alcohol, drugs, or prescription medications)
(cactus, tobacco, or other herbs)
(avoiding certain foods, alcohol, or medications for a specified period)
(spiritual growth, emotional healing, physical healing, personal clarity, or other goals)
Thanks so much for taking this important step towards your healing and expansion.
We look forward to connecting with you!