Option 1. enroll

Our therapists are state-licensed health practitioners who have trained specifically in brain-gut therapy. We are currently accepting patients that reside in California, Illinois, Massachusetts, New York, Ohio and Oregon. Filling out this form does not obligate you to enroll. You can stop any time throughout the process.   

Name *
Name
Select your state of residence

Option 2. Request more information or send us a message

If you would like more information or have questions about our program, please provide your name, email address, and message below.

Name *
Name

Option 3. Out of state? Stay in touch.

If you don't live in a state we currently serve, please provide your email address and state below so we can contact you when treatment is available in your state. You are under no obligation to continue in our program. Your contact information will not be given or sold to third parties.

Name *
Name
Phone
Phone
Are you 18 years or older? *