Appointment Inquiry

All inquiries will receive a reply within 24 hours. Please understand that our office is very busy, but we will try to accommodate your request to the best of our ability.

Name *

First

Last

Email *

Phone *

Symptoms *

Type of Session?

• Myofascial Release
• Life Coaching/Hypnotherapy
• Both
• Gift Certificate
• Multiple Therapists

Therapist(s)

• I don't know
• Frances
• Tom
• Michelle
• Tabitha
• Olga
• James
• Eric
• Tana
• Trevor
• Kelley

Availability

• Sunday
• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• -
• Mornings
• Afternoons
• Evenings
• Weekends

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