1-on-1 Sessions

WAITING LIST APPLICATION FORM

Thank you for joining my private practice waiting list. Please take a moment to complete the information on this form. To consider your application, I need to have a brief explanation of the work you'd like to commence with energy healing and with me. Be sure to include this information in the space below. 

Personal Details

When completing this form, your responses will be collected only for us to review your application. Please read our Privacy Policy to see how your data is used and stored.

Next Steps

Once you click submit, I'll review your information. Should there be space available, and a good fit between us, you'll receive an email with a link to progress to the scheduling and payment process for an initial session.