March 28-29, 2026 | Essex, Maryland

Important Information Before You Begin

This is a clinical assessment application, not a standard event registration. Please set aside 15-20 minutes to complete this form thoughtfully. Your responses help us determine whether this integrative approach is appropriate for your unique situation and ensure we can provide you with the individualized attention this experience requires.

Please note:

• Submission does not guarantee acceptance
• Applications are reviewed in the order received
• Enrollment is limited to 50-100 participants
• Approved applicants will receive confirmation within 1-2 business days
• All information is confidential and HIPAA-compliant