Enquiry Form General Enquiry Please fill in your details below and our team will be in contact Name*Email* Phone*I'm interested in learning more about MeRT Therapy forPlease click and select from the options below:Autism Spectrum Disorder (ASD)Post Traumatic Stress Disorder (PTSD)TBI / ConcussionADD / ADHDAddiction / Substance abuseInsomniaChronic painAnxietyDepressionPost TBI / StrokeChronic fatigue syndromeEating disorderCerebral palsy* (has helped with spasticity)Parkinson’s Disease*Alzheimer’s Dementia*Sports performanceCorporate performanceOther (please specify below)* MeRTsm will not cure the underlying condition but can assist with treating the symptoms of the conditionCommentsConsent* I confirm the above information is correct and I accept it will be used as part of the Brain Treatment Centre assessment process.*CAPTCHA