Let’s work together Please fill out the form below and include as much detail as you can about how I can help you. Name * First Name Last Name Email * Phone (###) ### #### Location Address 1 Address 2 City State/Province Zip/Postal Code Country What services are you interested in? 1:1 coaching Psychedelic Session Self-Care & Wellness Session Format Preference In person Video Call Phone Call Experience with psychedelics No experience Recreational use Therapeutic use How did you hear about me? Message * Thank you!