Congratulations on your decision to further deepen your relationship to your own healing journey! I am grateful for the opportunity to support you.
*Please note that all initial visits scheduled will be for Decmeber 2021 or after, as my practice is full at this time.
Full Name (first & last)
Phone Number (best)
What is your preferred form of communication?
Is this your first visit?
Yes, please schedule me for a 90 minute initial visit (*see note at the top)
No, please schedule me for a 60 minute follow-up visit
What type of session would you like?
Please indicate preferred session days?
What is your ideal session time?
How did you hear about our practice?
Is there anything else you would like to share?
Thank you for your inquiry.
Please note that emails are most commonly replied to on Tuesdays, Wednesdays and Thursdays.
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