Founding Cohort Application

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This takes 1-2 minutes. Most questions are optional.

Your responses are private and reviewed only by the Phoenix Power team.
This is not medical or mental health treatment intake.

Phoenix Power is intentionally releasing the Founding Cohort in a small, aligned group of physicians. This short application helps ensure the cohort is a good fit for both you and the program.

Submitting this form does not initiate payment. We review responses manually to keep the cohort aligned. If it feels like a good fit, you’ll receive a private invitation link by email.