Create Session

Use this form to create and request a new non-emergency healthcare session file. Use it to create psychotherapy (CBT, Mindfulness etc.), triage for any disease or illness, health self-assessment, education and mental health training. We review the sessions for approval and if approved, you will receive the session file by email.

Healthcare Session Creation

Use this form to create a new healthcare session. Submit it and receive your new session file by email within 48 hours (usually much less). Once we have approved your request, you will receive an email with instructions on sending your media files.

Your Name *

First

Last

Your Email Address *

Session Title *

Comment or Message

Option 1 *

Option 2 *

Option 3

Option 4

Option 5

Option 6

Option 7

Option 8

Option 9

Option 10

Factor 1 *

Factor 1 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 2 *

Factor 2 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 3

Factor 3 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 4

Factor 4 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 5

Factor 5 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 6

Factor 6 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 7

Factor 7 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 8

Factor 8 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 9

Factor 9 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Factor 10

Factor 10 Importance

Selected Value: 1

1 is the highest importance. More than one factor can have the same importance value.

Approved by certified healthcare professional? *

• Yes
• No

Submit