Request access

Tell us what you want to review.

Use one request path for app preview, parent review, professional review, school/youth partner pilots, advisor conversations, investor review, or privacy and safety feedback.

Blue Bree beside an invitation, approval seal, and phone for controlled preview access.

Soft launch request

Safe fields only.

This form collects only what Breemaia needs to review access. Do not include health, journal, crisis, or private teen details.

Safe-field guidanceBefore you begin: safe fields onlyDo not include private health, journal, crisis, or teen-identifying details.

One request path. App preview, professional review, pilots, advisors, and partners start here.
Manual review. Submitting does not approve access or send a sign-in code.
High-level context. Your role and a brief reason are enough.

Required fields are marked. If the form is unavailable, email the same high-level request to [email protected].

1About you
2Context
3Verification
4Review & send

Step 1 of 4: About you

Full name Required Email Required Use a work or school email if you are requesting as a clinician, educator, organization, reviewer, investor, or partner. Role Required

Step 2 of 4: Review context

Organization, clinic, school, or company Required for doctors, clinicians, schools, youth organizations, partners, reviewers, and investors. Optional for parents and teens. City / province or region Required for parent or guardian requests. City and province/state is enough. Do not include a street address. How did you hear about Breemaia? Required Who are you requesting for? Required

Step 3 of 4: Verification details

Professional role, title, or relationship Required for professional, school, organization, reviewer, partner, and investor requests. For parents, use this only if helpful. Work email, if different If your main email is already a work or school email, you can leave this blank. Website, LinkedIn, or licensing profile For professional, school, partner, and investor requests, include a work email or verification link.

Step 4 of 4: Requested next step

What are you requesting? Required, for triage only Everyone approved for the app preview uses the same invite-gated app. This field helps Breemaia decide how to review and follow up. Why do you want access? Required Keep this note high-level. Do not include private health details, journal content, crisis details, or sensitive information about a teen.

By submitting, you agree to Breemaia reviewing this request under the Privacy notice and Terms. This form does not subscribe you to marketing or future questionnaires. Do not include private teen health details.

Submitting this form does not approve app access. Request received, access approved, and sign-in code are separate steps.

Manual review

The form is intake, not proof of identity.

Breemaia reviews requests before approving access. Unknown public requests may need follow-up, referral context, or professional verification first. Approved people request a fresh sign-in code inside the app.

Parents and guardians

Parent requests are reviewed carefully. Unknown requests are not approved just because someone chooses parent; referral context, region, and follow-up matter.

Professionals and schools

Doctors, clinicians, educators, and youth organizations should include organization, role/title, and a work email or profile link.

Partners and investors

Partner, advisor, and investor requests should include organization, role, and a company or LinkedIn link before a brief is shared.

Blue Bree beside a phone and trust shield representing a controlled app preview.

Controlled access, better feedback

Controlled preview, not a public download.

Access requests help sort trusted testers, parents, professionals, schools, advisors, and possible partners before approval. Sign-in codes are requested later inside the invite-gated app.