Healers & Wellness Practitioners Volunteer Form

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Please allow us 1-3 days to refine details and reply to inquiries of this brand new grassroots effort.

All our love and gratitude,

- The Heart Dept

theheartdepartmentLA@gmail.com

@theheartdept

Full Name *

Phone number *

Best Email *

Type of Service or Offering *

Certifications or Training History *

What city/neighborhood do you live in? *

Are you available for service in-person, virtual or both? *

What's your Instagram or social media? *

Any other helpful links or websites about your work?

Other Notes or Questions for us? *

Thank you so much for your care and love.

We will be in touch soon,

- The Heart Dept team

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