Your Chakaura™ Clinical Booking Request Step 1

Welcome to Chakaura™!

Please answer the short questionnaire below that will help us process your booking. 

Once submitted, you will receive an email for the next steps.

Thank you

Chakaura™ Administration bookings


Email *
Please provide the following:

Your full name.
 *
Your city.  *
Your country. *
Your country code. *
Country code can be a postal code, Zip Code, etc. 
Your daytime phone number.  *
Please include country and area codes.
What is your age? *
If you are under 18 years of age, you will require parental/guardian consent. 
What is your sex at birth? *

SPECIALIST ASSESSMENT

If you'd like to discuss your needs before committing, then we recommend booking a 30-minute consulting CALL with one of our Chakaura™ Specialist.

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A small fee of $50 CDN will be invoiced to you as part of this personalized service. We will contact you with payment details and to book your date and time for your personalized consultation.
Timeline for An Appointment with one of our Chakaura™ Specialist *
Required
I wish to see Michèle  *
Required
Michèle offers her sessions in the mornings Fromm 9am to 1h00 pm. Please mark off the days of preference and time. Thank you *
If none of the above suits you which days and time would suit you? Michèle does not work evenings or most weekends but can offer the odd Saturday morning if booked ahead of time.  *
Please detail briefly your questions and how we can support you.  *
Chakaura™ Clinical Packages Available

I am ready to book/register and be invoiced for: Please note prices may change without notice so please confirm when booking.

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Choose one only please 
Required
What are the main reasons you wish to book a session? *
Will you require an ANN Insurance receipt?

( an administrative fee of $25 will be billed for this service) 

 Our services are recognized by ANN (Quebec). We offer Insurance receipts under Naturopathic services.  If you are outside of this province, we cannot guarantee your insurance policy covers our services. We suggest you inquire with them first.
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Have you been referred to us by anyone? Please fill in details below. 
How did you hear about  Chakaura™ or Michèle? *
Required

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