Book An Appointment — Daylight Wellness

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Fill out the submission form below to request to become part of the Daylight Wellness collective as a Licensed Facilitator

Name

First Name

Last Name

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Number of Clients

Are you already a Licensed Facilitator?

If No, Please Provide Details

What Services Do You Want to Offer?

Select all that apply

Private Sessions

Group Sessions (3+ patients)

Retreats (10+ patients)

Frequency of Services

Cost of Services

Provide how much you plan to charge clients for one psilocybin session

Subject

New therapists, please use the subject 'Request to Join Daylight Wellness'

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