Please Note:

You are being temporarily directed outside this website to Google Forms where some personal information will be collected to begin the qualification process for someone interested in participating in The Ameshée Expérience.

By continuing, you agree to my Privacy Policy and how Google Forms handles data.

This information is for my information only in coordinating this service, and is never sold or shared unless you give us permission at a later date to share with Dr. Veronikis and his medical team.