For organizations and adult learning communities

Start with the work
you need to deliver.

Tell us about a business partnership or an educational course for your audience. We can use these details to review the scope, availability and next steps.

Required fields are marked with an asterisk. This form is for business information only.

Service partnerships concern an organization's needs. For an individual appointment, use the patient care contact.
Describe the organization or audience in general terms. Include no individual names or health information.
This describes your planning range. It is not a price or quote.
Up to 1,000 characters. Do not include patient names, medical history, records, individual appointment requests, private learner information or payment details.

By sending this request, you ask the relevant business to use your contact details to review and respond to this inquiry. This does not subscribe you to marketing.

How this business request is handled.

Netlify stores the information you submit in a private form queue for authorized site review. Ryan Sultan's office reviews the selected request type and contact details. Organization service partnership requests concern Integrative Psych; course distribution and licensing requests concern DAYSTROM LABS LLC, doing business as Frontier Mental Health. These businesses use the information to review and respond to your request and discuss a possible written scope.

This form collects business contact and planning details. It is not an individual-care intake form. Netlify also handles technical connection details and spam filtering as the hosting provider. Please use the care contact route for individual appointments and arrange a secure route with the care team before sharing patient information.

For a question about your request or a request to correct or remove it, contact ryan.sultan@gmail.com. Sending the form does not authorize advertising emails, purchase anything or create a clinical relationship.