Welcome!
Please complete this form and I will reach out to you by email to schedule your free 30 minute call.
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Please describe why you are interested in receiving Natural Medicine (psilocybin) services.
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Do you have any previous experience with psychedelics? If yes, please briefly describe what those experiences were like for you.
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Are you currently engaged in therapy or other structured/guided ways of exploring your inner worlds? Have you been in the past?
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Please list any medications you are currently taking.
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Please note any mental health conditions that you have been diagnosed with or that you suspect you may have.
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