Name *

First Name

Last Name

Phone *

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What type of session are you interested in? *

check only one type

Somatic Activation Coaching

Brainspotting Coaching Intensive

By checking this box you understand that Somatic Activation Coaching and Brainspotting Coaching Intensives are not recommended for individuals with the following conditions: Bipolar Disorder, Schizophrenia, History of Suicide Attempts, Current Suicidal Ideation, History of Seizures, Personality Disorders, History of self harm, Current self harm, History of Homicide attempts, Current Homicidal Ideation, History of Alcohol Use Disorder, Current Alcohol Use Disorder, History of Substance Use Disorder, Current Subtance Use Disorder, Currently in a domestic violence situation, Currently experiencing an Acute Stress Disorder *

I do not have any of the conditions mentioned above

By checking this box you understand that Somatic Activation Coaching and Brainspotting Coaching Intensives are online only. *

Yes, I understand

By checking this box you understand that Somatic Activation Coaching is a $375 investment for a 50 minute one-time session and Brainspotting Coaching Intensives are a $1,800 investment for a 3 hour one-time session. They are not covered by insurance and not considered a medical expense. *

Yes, I understand

By checking this box you understand that Somatic Activation Coaching and Brainspotting Coaching Intensives are not a replacement for therapy and are not a treatment for mental illness or physical illness. *

Yes, I understand