Family Wellness Pack Form

    Personal Information


    Family Member Details (Up to 3 members)


    Subscription Details

    Preferred mode of sessions


    Payment Options

    Instructions will be shared upon form submission.

    Consent & Agreement

    I agree to the terms of service and privacy policy of Akili Sawa.
    I understand the Family Wellness Pack is a monthly subscription covering up to 3 members with 6 combined sessions/month. Find our banking details here.