Horizon Clear
Toggle Mobile Menu
Home
About
Our Team
Shop
Blog
Contact
Schedule
Hope and Healing
Contribution Questionnaire
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
What is your line of work?
*
Tell us a little bit about your line of work.
What services would you like to provide to clients of Horizon Clear?
*
These could be anything you think would be beneficial, even if they're outside your usual routine obligations.
How many hours per month are you wanting to dedicate to Horizon Clear?
*
You don't have to be exact. Just a rough estimate would do.
Do you have a high-resolution headshot?
Yes
No
I'm not sure
If you agree, we'd like to present you on our site in a consistent manner across all specialists and therapists. If you don't have a professional headshot, and reside in the Cape Town area, we can provide a photographer
Comment
Submit
Contribution Questionnaire