This is the short form we need filled out to work together. All fields are required. Only I, Dr. Flavio have access to, see and read this form. All information is secure and only used for therapeutic purposes.


This is the short form we need filled out to work together. All fields are required. Only I, Dr. Flavio have access to, see and read this form. All information is secure and only used for therapeutic purposes.
Kindly let us know a bit about yourself so we can get acquainted.
All the details you need will open to you once you click on the form.
Please see the page for the Privacy Policy
Welcome to the Academy. We are happy that you are considering working with us. Please put your information below and let us know how we can serve you.
Your information is secure and will only be used for the purposes intended.