Page 1 of 1

I'm glad you're here 🌿

Please fill out this short form to get started in our work together.

(This form is 100% confidential)

First and Last Name

Email

How did you hear about me and my work?

What would you love to shift or heal in our work together? 

How will your life look and feel when you’ve made these shifts and healed?

The investment for 1:1 work is $360-$720/month depending on the level of support.
Is this an investment you're ready and able to make in your transformation?

The investment for 1:1 work is $360-$720/month depending on the level of support.Is this an investment you're ready and able to make in your transformation?
A
B

What have you tried so far on your healing journey?*
(Modalities, practices, or other support)

Anything else you’d like to share that feels important?