Omnia Sol · Application

Begin your intake conversation

This application is the first step, not a commitment on either side. A member of our team will read it carefully and follow up to talk through whether Omnia Sol is a good fit for where you are right now.

Arrival

Basic details so we know who's reaching out and how to reach back.

Background

This helps us understand the lens you're arriving through.

Readiness

Honest answers here help us take good care of you — nothing here disqualifies you on its own.

If you're in crisis or having thoughts of harming yourself, please contact the 988 Suicide & Crisis Lifeline (call or text 988) now rather than waiting on this application.
Consent

A quick acknowledgment before you send this along.

I understand that any medical information I provide will be kept private for the purposes of this application. If I am approved, this information may be shared with trusted third-party service providers so they can help determine appropriate next steps in my care.

I understand this application starts an intake conversation and does not guarantee program acceptance. I further understand that any participation I have in Omnia Sol programs does not involve or constitute medical advice or treatment of any kind. I understand that if accepted, a separate signed liability waiver and consent process will follow before any program participation. I promise to submit all paperwork truthfully.

We typically respond within 2–3 business days.
✓

Your application is in.

Thank you for trusting us with this. Someone from Omnia Sol will follow up by email or phone within 2–3 business days to talk through next steps.