Community Clinic Appointment Request
Please fill out the following fields completely for your Monthly Community Clinic appointment at the Center for Integrative Wellness, 26 Main Street, Suite B, Chester, MA 01011. Use your full name and check to make sure your email address and phone number are correct. THESE ARE ON A FIRST-COME, FIRST-SERVED BASIS.
Your Phone Number. Once you have registered, we will call you to set up a specific time.
Your Full Name
Choose a Community Clinic Date. One appointment per client each month. Select one. These are all first-come; first-served.
Wednesday June 19 from1 to 7pm for in-person sessions with Maureen Suriner (only 3 one-hour sessions are available)
Wednesday June 19 for phone session with Marika Ray (only 3 one-hour sessions are available)
Type of Wellness Service & Practitioner Requested. Choose one.
Individual Reiki Session with Maureen
Chakra Balance & Clearing with Maureen
Energy Medicine Session with Maureen
Individual Phone Session for Angelic Energy Clearing Session with Marika
Choose Payment or Exchange Type. Select one.
Pay donation of choice by cash at time of appointment
Pay donation of choice by check at time of appointment
Pay donation of choice by credit card at time of appointment
"Pay it forward" donation of choice by doing community service
Thank you for your responses above. Let us know if you have a question below.
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