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Begin Your Intake Process

A Grounded Step Toward Clarity and Alignment

Before we begin working together, I ask each prospective client to complete a brief intake and readiness questionnaire. This helps me determine whether the service you are seeking—Transpersonal Therapy, Transpersonal Coaching, Heart-Centered Hypnotherapy, Psychedelic/Ketamine Integration, or Trauma Resolution Therapy—is safe, appropriate, and aligned with your current needs.

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Completing this form does not establish a therapeutic relationship and does not guarantee acceptance. It is simply the next step in determining whether we are a good fit to work together.

Before You Begin

Please review the following before completing the questionnaire:

  • Therapy is available to residents of Florida, Idaho, and South Carolina only.

  • Coaching is available worldwide.

  • All sessions are conducted via secure telehealth.

  • Hypnotherapy and integration services require emotional stability and readiness for deeper inner work.

  • Substance-free sessions are required for hypnotherapy and integration services. Please abstain from alcohol, cannabis, recreational drugs, and any non-prescribed psychoactive substances for at least 24 hours beforehand.

  • I do not provide in-session support while a person is under the influence of ketamine, psychedelics, or any other mind- or mood-altering substance.

  • I do not work with individuals who appear physically dependent on, or psychologically reliant upon, ketamine, psychedelics, or other substances.

  • Services are offered to adults only.

  • If you are unsure which service best fits your needs, you are welcome to complete the questionnaire and I will follow up with guidance on the most appropriate next step.

Complete Your Intake Questionnaire

Complete the questionnaire below to begin the screening process.

After You Submit

Within 3–5 business days, you will receive:

  1. Confirmation of whether we appear to be a good fit

  2. Next steps for scheduling, if appropriate

  3. Consent forms and preparation guidelines, when applicable

  4. Referrals or alternative recommendations if a different level of care or service would better support you

  5. Your readiness, safety, and alignment matter deeply in this process.

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