Email
*
example@example.com
Name
Preferred First Name
Last Name
What kind of connection are you craving with other like-minded providers?
What words/terms do you use to describe yourself as a healer/professional?
With what frequency would you ideally like to connect in an online cohort?
Once a month
Twice a month
What is your preferred session length for each connection?
90 minutes
120 minutes
I feel most excited about...
Guided conversation points
Reflection opportunities to explore your ideal healing environment and authentic medicine
Camaraderie with other aligned providers
Exploring the language we use in healing environments
Opportunities to discuss the impact of our capitalist, colonial, oppressive western medical space
Tangible practices for integrating changes that are honoring and not overwhelming (with support)
Are there parts of your current work experience/environment that you are wanting to shift? If you have clarity around what/how, please share briefly. You may also not have clarity and that’s okay too. What kind of support around those desired changes might feel helpful?
What is your dream for what healing could be? AND/OR: What is your dream for what your healing path & service can look like and feel like?
Would you like to join the waitlist?
Yes
No
Is there anything else you’d like to share or want me to know?
Submit
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