Energy Work
Trauma Relief
Tarot
About
Contact
Energy Work
Trauma Relief
Tarot
About
Contact
New Client Form
Please complete the form below for yourself.
Name
*
First Name
Last Name
Age
*
Email
*
Phone
*
(###)
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Please list emotional, mental, or spiritual issues you would like to address.
Please list bodily issues you would like to address.
Please list relationship issues you would like to address.
Please list job or money issues you would like to address.
Please list other issues you would like to address.
Which is (are) the most important issue(s) to be addressed first?
*
Thank you!
I’ll be in contact within 24 hours after to schedule your first session.
