WELCOME!

Thank you for taking the time to complete the Eligibility Form.

This short form allows me to learn more about you and your intentions for doing this work. It includes a brief inquiry into your mental health history and screens for any potential contraindications.

Your honest and open responses help to ensure a safe and supportive container for this process. Everything you share will be held in confidence and with care.

Once submitted, I’ll review your responses and follow up with next steps within a few days.