Name *

First Name

Last Name

Phone

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I am seeking

Please indicate what services you are seeking

Therapeutic Bodywork for chronic or acute ailments

Full body work for nervous system regulation

Private Yoga

Herbal Consultation + Wellness Protocol Development

Consent *

I understand and consent to your pricing structure outlined on your "Bodywork" Page.

I understand that unless requested otherwise due to preference or allergies, there will be a therapy dog in the office during my session.

Mailing List

I would like to be added to the email list for updates, articles, and upcoming session availability.

Please do not add me to any email lists