Thank you for your interest in working with us! Please complete this short information form. After submitting, you will be redirected to our bookings page, where you can view our programs + pricing and schedule your free 10 minute introductory call.

PLEASE NOTE: we are currently only accepting clients in the US and Canada.

First & Last Name

State or Province

Please share a bit about your current health struggles:

How would your life change if you were able to overcome these struggles?

Have you worked with a functional health practitioner before? If so, what was your experience like?

Deep healing requires time, effort, patience and commitment. Are you willing to put in the effort it takes to heal?

Yes!

Not Sure

When can you start working with Summer?

I can start now!

1- 3 months from now

3 - 6 months from now

Is there anything else you would like to add?

Thanks for submitting!