Book A Session

To book a session please fill out the form below.

 

First Name*

Last Name*

Email*

Phone*

Subject *

Do you have a doctor’s prescription (yes or no)? This is not required.

If you do have a doctor’s prescription, please provide the name of your doctor.

What is the reason you are seeking treatment?

Comments / Questions

 

 

Will this be your first session?

Here are a few suggestions to make the the most out of your appointment:

  • Fill out paperwork (which will be emailed to you) prior to your first session
  • Bring a form of payment (check or credit card only)
  • Wear comfortable clothes