Request an Event with Burkholder Wellness
Thank you so much for contacting Burkholder Wellness.
This request form is to book a speaking event or a wellness event with us. If our Family Nurse Practitioner isn't available for the event, we have other collaborating colleagues who may be available.
What is the event for?
What is the agency / facility requesting the event?
Who is the contact person?
Contact person's phone number:
Contact person's email address:
What is the date and time of the event?
How many people will be attending?
What kind of setting? (Check all that apply).
Classroom / Lecture
Wellness Event / Wellness Fair
What topics would you like to be discussed? (Check all that apply).
Blood Pressure, Cholesterol, & Heart Health Education
Brain / Gut Connection
Child Abuse Prevention
Childhood Sexual Abuse Prevention
Essential Oils for Holistic Health
Gut Health and Its Ties to Physical, Mental, and Emotional Health
Hypnotherapy as an Integrative Treatment
Importance of Self Care
Leaky Gut Syndrome
Mental and Emotional Health (Depression, Anxiety, etc)
Mindfulness & Meditation
Positive Parenting Tips
Resiliency and Overcoming Adversity
Setting Healthy Boundaries
Stress and Its Effect on the Mind and Body
Trauma / Childhood Trauma (ACEs)
Is this a volunteer or paid event?
Any other questions or special requests?
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