Application for Enrollment

Please note: this is a multiple page form. If you wish to modify an answer on a previous page, do NOT reload the page in your browser, as that will clear the contents of the form. Instead use the 'Previous' button at the bottom of the page.

After submitting this form you will be contacted with additional information about the Academy and the specific course(s) for which you have applied. Completion of this application does not automatically enroll you in a class. You will need to attend a mandatory Academy Open House/Orientation, after which you will be contacted to arrange a phone appointment to discuss admissions.

All classes take place at the Academy of Intuition Medicine® in Sausalito, California, USA.

Application for Enrollment ('Live' multipage form)

Student information

Address
City
State/Province
Zip/Postal
Country

Course selections

No prerequisites for Intuition Medicine: Healing I. All other courses have prerequisites (after filling out this form, see Courses & Programs page). Completion of all three Core Courses above is required for application to the Master Certification in Intuition Medicine® (MIM) Program.

Alumni Enrichment courses like Anatomy and Chakra Doctor courses require prior completion of Master Certification in Intuition Medicine® (MIM) Program.

General