Paid Scan and/or Session Form

Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

What type of session are you wanting?*

Scan Only (e.g. EZ Scan, Body Systems, Quick Scan)= $5/scanScan with Muscle Testing SINGLE session = $30Scans with Muscle Testing for 4 sessions = $110

Have you sent me a 10 sec. voice recording? Please do this in a quiet place where no other sounds but your voice can be heard on the scan. This can be sent to 828-493-4381, and please format it as follows: "My name is ___...[anything you want after]."*

Yes

IF SELECTED 'Scan Only' OPTION ABOVE - Please share which scan(s) you would like performed? **

This section is only for those doing a SCAN WITH MUSCLE TESTING

NOTE FOR 'Scan with Muscle Testing': Sessions with muscle testing use the EZ Scan (i.e. InnerVoice/Basic, Vitals, & Comprehensive). Any additional types of scans with muscle testing will add the additional $5.

Got it

Zoom Option

Select an Appointment Date

Meeting Room URL (if doing muscle testing to discuss scan)

https://us05web.zoom.us/j/8720550970?pwd=REXcZlkmMOK2DOZMtcIfMbe3sM2Dve.1

https://us05web.zoom.us/j/8720550970?pwd=REXcZlkmMOK2DOZMtcIfMbe3sM2Dve.1

Request a Coaching Scan/Session