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Registration

1. What is your name? *

2. What is your email address? *

* Please use the same email address as in your Heal-3 pre-registration form.

3. Who referred you to the Heal-3 platform?

4. Who can book you under the Heal-3 platform? [Choose all that apply]

5. Please provide us with a bio and include a short description of your practice and areas of expertise [30-75 words].

IMPORTANT: If you want to work with companies, use the format below and make clear how your practice can help companies.

Example of bio for company clients

Mike MacConnell is a mediator and communication coach, a former Professor of Family Mediation, and the author of several books on dispute resolution. He can help your organization navigate conflict and establish effective communication techniques.

IMPORTANT: If you want to work 1:1 with individuals, use the format below, and make clear how your practice can help your individual clients.

Example of bio for individual clients

Mike MacConnell is a mediator and communication coach, a former Professor of Family Mediation, and the author of several books on dispute resolution. He works with individual clients to improve their skills and emotional self-regulation. He also provides his clients with practical skills that help to cope with stress and enrich connections with others.

6. Provide us with the full address of your practice or place of work. If you do not have an address for your practice, indicate: no address.

Example:

Olga Morawczynski
3784 Dundas St W.
Toronto, ONT
M5B 172

7. Do you offer your services virtually?

8. Do you have any restrictions on where in Canada you can work? (e.g. licensing or otherwise)

9. Select 1-3 keywords that describe your practice.

* Please note that these keywords will support search functionality

10. Select 1-3 keywords that describe key areas of expertise

* Please note that these keywords will support search functionality

11. Please list up to 5 services that you can be booked for by companies and/or individuals. Include a short description of the services [50 words or less] and your pricing.

Example: Services for companies

  • The power of resilience keynote: Dr. Mike Adam’s keynote on Everyday Resiliency offers practical strategies to foster resilience amidst stress and uncertainty. Through engaging storytelling and real-world applications, participants gain tools to establish daily systems, increase productivity, and find calm in ever-changing times. Inspirational and research- informed, this presentation empowers individuals to thrive. COST: $500
  • Burnout prevention workshop: With his extensive evidence-based knowledge of physical and mental health, human well-being, behavioural psychology, and coaching principles, Dr. Mike equips audiences with key skills to help them navigate the ups and downs and endless stresses and strains of modern life. COST: $1,500

Example: Services for individual clients

  • 60 minute sound healing: Experience a transformative 60-minute sound healing session with Reiki, delivered conveniently via Zoom. Through the harmonious blend of instruments, music, and vocals, this immersive journey restores balance and harmony to your body, mind, and spirit. Discover the power of specialized sound frequencies, inducing deep rest, nervous system realignment, and emotional release in a therapeutic atmosphere. COST: $150
  • 75 minute hypnosis session: Experience the relaxing and focused state of hypnosis, unlocking direct access to your powerful subconscious mind. Discover the profound influence of suggestions in reshaping learned behavior patterns and tapping into your mind's full potential. COST: $200

12. Please upload any certificates related to your wellbeing practice
[if relevant]

Max file size: 2 MB

13. Please upload a high quality headshot

Max file size: 2 MB