Contact us For inquiries or to schedule a session, please fill out this form: Open Form Contact Us Form Name * First Name Last Name Email * Phone * (###) ### #### This is my: * Cell Phone Home Phone Work Phone Preferred contact method: * Email Phone Text Occupation: * Referred by: * Please select your session: * Biofield Tuning/Reiki/Eastern Bodywork Manual Lymphatic Drainage (MLD) Medical Massage Therapy ABOUT YOUR SESSION Days available: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Times available: Morning Afternoon Evening Please indicate which of the following may apply to you: * Cancer of terminal illness Elective surgery (have had/will have) Epilepsy Kidney Disease Pregnancy or plan to become pregnant Wearing a pacemaker None Other If you checked Other above, please describe here: What are your goals for the session(s)? * Do you have any questions or concerns that you would like us to address? Thank you!
