Contact Us Please complete the form below and we will contact you soon. Name * First Name Last Name Email * Gender * male female City of residence * Country of Residence * Telephone number * Date of Birth * MM DD YYYY Time of Birth * If your unsure, put closest approximation. mid morning = 10 am mid afternoon = 3pm and no idea at all put midday. Hour Minute Second AM PM Place of Birth * Referral Medical history * Please inform us if any major surgery or ailments ( including cosmetic surgery), And of any medications that your recently or currently using. This information is essential for your wellbeing and safety. What ceremony you applying for * Upcoming group sitting Private group sitting Personal program (dieta) other Message * Schedule call back * Please provide three suitable time options for me to contact you in the coming week. Thanks Thank you!We will be in touch with you to schedule your first free 15 min consultation. You will be able to ask any questions about the work and the plants and any other inquiries you may have. Till soon, Sandro