2027— Soma Community Clinic Appointment Scheduling Form

June 21, 2027
Soma Community Clinic Sign-up

Appointment Scheduling Form

Thanks for your interest in participating in the Soma Community Clinic. Please let us know your available appointment time(s) by filling out the form below. Once we receive your submission, we will confirm your appointment and request that you complete important Health history forms and waivers.
Free 1-hour Soma Treatments

Experience Soma! The Soma Clinic has a limited number of openings for FREE 1-hour Soma sessions with current Soma student practitioners.

With faculty support, Soma student practitioners will offer free Soma sessions in our large, inviting classroom space. In addition to the wonderful hands-on manual therapy you will receive, expect the student practitioner to perform a standing postural assessments before and after the session. For the duration of the session, we suggest wearing a bathing suit or stretchy shorts and a sports bra (if appropriate).

Sessions are Free, this day only. (Sessions with our student practitoners are typically $65.)

Location: The Soma Institute at Camano Center, 772 Camano Ave, Suite 101, Langley, WA 98260 (Whidbey Island)

Illness Measures:
Students, teachers, and client models are expected to wear a mask if they have been exposed to a contagious person. Ventilation and air purifiers will be in use.
Appointment Slots on Monday, June 21st, 2027

Please fill in your contact info and then select all the appointment slots that work for your schedule. Personal information such as age and gender is used to help us assign a variety of practice clients to each of our students so they get the opportunity to work with all different folks. We will be in touch in May to confirm if we are able to schedule you. Thanks!
Name

First NameLast Name
Email
example@example.com
Date of Birth
Phone Number

Area CodePhone Number
Select all the times that work for your schedule on Monday, June 21st. Keep in mind you will need to arrive about 10 minutes early.
1pm-2pm (Monday, June 22nd, 2026)
2:15pm-3:15pm (Monday, June 22nd, 2026)
3:45pm-4:45pm (Monday, June 22nd, 2026)
5pm-6pm (Monday, June 22nd, 2026)
Is there anything else we should know about you, your health or schedule?
Age Range
Gender Pronouns

Other
Thanks!

In late May, we will be in touch to confirm your appointment and send along info with directions and links to our health history forms and wiavers.

We are looking forward to sharing Soma with you.

If you have any questions or concerns, just let us know.

~ Team Soma

Soma Institute of Structural Integration
Soma Clinic: 772 Camano Avenue, Suite 101, Langley, WA 98260
360.680.3053 | somainfo@soma-institute.org
www.soma-institute.org
Should be Empty:

Appointment Slots on Monday, June 21st, 2027