Request access

Request access to Breemaia.

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

Access by invitation

A few details to request access.

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

What to includeBefore you beginDo 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].

Before we ask for your details

Breemaia is for teens and young adults. Self-request access to this beta is currently for adults 18 and older. Requests are reviewed by a person.

I am requesting

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 individual adult applicants. 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 — helps us direct your request 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

Submitting starts a review; it does not grant access.

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.

What happens next

What happens after you request access.

An access application and a sign-in code are two different things. Here is how they connect.

01
Send your request
Share a few details so we can review your request. Check your inbox and Junk/Spam for confirmation.
02
Allow time for review
We review requests individually. Access isn’t guaranteed. If your request is already pending, you don’t need to apply again.
03
If approved, open the app
Use your approved email in the app to request a sign-in code.

Already approved? Use your approved email to sign in. Open App →

Request access to Breemaia.

A few details to request access.

Before we ask for your details

Please ask a parent or guardian

Review your request.

Submitting starts a review; it does not grant access.

Parents and guardians

Professionals and schools

Partners and investors

What happens after you request access.

Send your request

Allow time for review

If approved, open the app