Please complete our online form and we will be in touch soon:

Please note the following points in mind when filling in the intake form:

• There is a privacy risk when using technology such as emails and texts 
• If you share any information that is considered a risk for potential harm to yourself or others we may need to alert outside help to address the concern and ensure the safety  
• You are not yet a client of Muslim Women’s Wellness since you have not signed the appropriate forms which go over risks and your rights so that you can make an informed decision to work with us