Apply for a Consultation

Canary House works with individuals whose symptoms, treatment response, or health history may require a more integrated approach. This application helps our team understand what you are looking for and determine the most appropriate place to begin. Depending on where you are in the healing and diagnostic process, we may recommend a consultation, a Full Circle Evaluation to build a Regulatory Rehabilitation path, or determine eligibility for ongoing medical and regulatory management.

Submitting an application does not commit you to care. Please check your spam folder if you do not see a response in your inbox within 2 business days.

IMPORTANT: You will receive an email response within two business days. PLEASE CHECK YOUR SPAM FOLDER.

Submission of this form does not guarantee acceptance into care or scheduling of an evaluation.