Request the free intro call

Request the free intro call

Fill out the form to request your free introductory call with Ben.
Name*
Email*
example@example.com
Phone*
Please enter a valid phone number.Format: 0000 000 000.
A few days and times that could work for the call?*
What's bringing you here?*
Would you like to share any more detail or context before we talk?
Before you submit

Your information is collected by Hard Conversations to arrange the intro call and (if you book) to set up therapy. The form is hosted by Jotform (US-based), so submitting means your information leaves Australia at that moment. It's then transferred into your secure clinical record in Halaxy, our practice management software.

Full detail in the Privacy Policy.
I've read the above and consent to my information being collected and stored as described.*

I agree
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