Brain Optimizing Transformation Visit Application
Michael only works with people who are serious about overcoming trauma, PTSD, and life’s challenges. Complete the application below to work with Michael.
Name *
Email Address *
Telephone Number *
1. Please provide just a headline, of what you’re looking to address. *
2. Have you tried therapy or counseling before? *
3. Are you currently seeing a therapist or counselor? *
4. What are you doing, feeling, or thinking that you want to change? *
5. What is your desired outcome from your Transformation visit? *
6. How did you hear about Michael Cortina? *
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