NOTE: Due to increased demand, we are currently unable to accept applications for our programs until further notice. To join our waiting list, please complete the form below.

We sincerely apologise. This is to ensure we dedicate time and support to our current clients to give them the best opportunity for a positive outcome.

If you do choose to complete the form below, please note our response time is also significantly delayed; your application will be reviewed for our next intake at which time we will send you a reply. We are also working on developing a series of workshops and courses to allow us to assist more people with cognitive decline, please include interest in your comments if you would like to be notified of their availability.

Best wishes, Dave and Miki
dated 1 May 2019


Participant Information

Please complete the following for consideration for our programs. Ensure you provide us with your best email address and phone number to make contact.

If you are completing this form for another person (e.g. parent, friend, partner) please fill in "Name of Participant", leave blank otherwise. The age and country are relevant to the intended participant, rather than the person completing the form.
* indicates required
Which program are you interested in? (TICK ONE) *
The participant has cognitive issues? (TICK ONE) *