To request consideration for a consultation, complete the screening form below.

Due to the private and specialised nature of this practice, sessions are available by application only.

Private Screening Form

This form allows assessment of suitability for regulation-focused somatic work. Each submission is reviewed individually to ensure suitability and alignment.
Completion does not guarantee acceptance into the practice.
All information is confidential.

Initial Inquiry

If you would prefer to ask a brief question before completing the intake form, you may contact via WhatsApp Business for initial inquiries only.

Please note: Clinical discussions and personal disclosures are reserved for scheduled sessions.