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We look forward to hearing from you!

We are always interested in your feedback about what you are interested in, want more of, and what could use improvement. Please use the Feedback Form rather than this consultation and general contact form if you have feedback to share.

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If you are not familiar with our Services, check them out. We also highly recommend reading our About Us page before reaching out to see if what we offer is what you want.

If you are looking to join the community, read more about this work, or practice on your own — those are always available and you can do that now here without a consultation:

S1 :: education

S2 :: community

S3 :: practice

Name

First Name

Last Name

I am interested in...

In-Person or Virtual Live Intensive Work (S5)

Asynchronous Small Group On-Going Processing (S4)

Supported Psychedelic Integration (S7)

Collaboration on a Project, Interview, or Speaking at an Event

Practicum, Internship, and/or Clinical Supervision

Other

I am interested in this because...

Preferred Date/s + Time/s

Please list the dates and times you are available for these services and any relevant information about scheduling that might be helpful to know.

Accessibility Needs

Please list and describe any needs and limits you have related to scheduling, participating in, and receiving services.

Identity Needs

Please list and describe any needs or preferences you have related to your identity and how you are referred to, as well as if you have preferences about who you would like to participate with in any assigned groups or partnerships. You might have preferences related to gender, sex, culture, marginalization, work, relationships, ability, location, hobbies, interests, etc.

History of Services

Please share anything relevant that you would like to share about your history of receiving services with subtle self, or any related services. Please list any concerns or questions you have about working with subtle self to make sure they are addressed.

Insurance

Please list the name of any insurance you have and are hoping to use for provision of services. Write N/A if you are not hoping to use insurance.

Anything Else?

Please share anything else you think is important to share or for us to know in considering your care.

Contact Us

We look forward to hearing from you!

Let’s talk.

Education

Community

Practice

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