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The Inner Forge Application Form

This is not a form. It's a threshold.

Contact Information

What is your First Name?

What is your Last Name?

What is your Email Address?

What is your Cell Phone Number?

Location (City, State, Time Zone)

What is Your Age?

Readiness & Resonance

1. What drew you to The inner Forge? What about this feels right or necessary right now?

2. If I could wave a magic wand and change your life instantly… what becomes true that isn’t true now?

3. What patterns, emotions, or wounds are you ready to face and transform?

4. What work (healing, coaching, therapy, spiritual practice) have you done before—and how has it helped or fallen short?

5. What is at stake if nothing changes?

6. On a scale of 1–10, how committed are you to diving deep, facing your shadows, and doing the real inner work—especially when it’s uncomfortable, confronting, or requires more time than expected?
(This journey requires a commitment level of 9 or 10. Anything less may not serve you)

6. On a scale of 1–10, how committed are you to diving deep, facing your shadows, and doing the real inner work—especially when it’s uncomfortable, confronting, or requires more time than expected?(This journey requires a commitment level of 9 or 10. Anything less may not serve you)

7. This is a 24-week minimum commitment, with one session per week, and a fee of $4,440. Are you ready and able to make this investment in yourself?

7. This is a 24-week minimum commitment, with one session per week, and a fee of $4,440. Are you ready and able to make this investment in yourself?
A
B
C

8. Anything else you'd like to share that feels important for me to know?

Consent & Next Steps

I understand that The Inner Forge is a sacred container requiring a minimum 24-week commitment, emotional depth, and financial investment. By submitting this application, I am signaling my readiness to explore this work with integrity.

The services offered through Soul Alchemy Healing Services LLC: including emotional healing, energy work, spiritual guidance, and coaching are intended for emotional, spiritual, and personal development only. Although I am a licensed and board-certified physician,  I do not diagnose or treat any medical or psychological conditions.


By submitting this application, you acknowledge that:


-- You are responsible for your own health and well-being.

-- You understand this work is not a replacement for medical or psychological care.

-- You agree to take full responsibility for your experience and results.

-- You release and hold harmless Soul Alchemy Healing Services LLC and Michael Bilkis, MD from any and all liability, claims, or actions arising from your participation in this work.

The services offered through Soul Alchemy Healing Services LLC: including emotional healing, energy work, spiritual guidance, and coaching are intended for emotional, spiritual, and personal development only. Although I am a licensed and board-certified physician,  I do not diagnose or treat any medical or psychological conditions.By submitting this application, you acknowledge that:-- You are responsible for your own health and well-being.-- You understand this work is not a replacement for medical or psychological care.-- You agree to take full responsibility for your experience and results.-- You release and hold harmless Soul Alchemy Healing Services LLC and Michael Bilkis, MD from any and all liability, claims, or actions arising from your participation in this work.
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Once your application is reviewed, you’ll receive an invitation to schedule a free 30-minute consultation to discuss fit and next steps.