In-Residency Pre-Screening | Venus Health Academy

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In-Residency Pre-Screening

The Private Health Residency

This service is offered selectively. Completion of this form does not guarantee acceptance.

Name*

Last name*

Age*

Your email*

Primary Location*

What best describes why you are enquiring at this time?*

Multiple choice - Which of these best reflects your current needs?*

Restoring stability and reducing overload

Addressing ongoing health patterns

Rebuilding consistency and structure

Exploring suitability for private support

Where would the residency most likely take place?*

Primary residence

Secondary residence

Yacht

Overseas location

To be discussed

Are you comfortable with an in-residence, structured engagement with clear professional boundaries?*

Yes

With discussion

No

This service is non-medical and does not replace clinical care. Do you understand and accept this?*

Yes

No

This is a private, premium service reflecting in-residence support. Are you comfortable proceeding on this basis?*

Yes

With discussion

No

Preferred timeframe (if known)

Additional information

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