Reservations for Healing Beyond Medicine - 5NP and Sound Healing. Please use Venmo or click "submit" for payment link to complete checkout.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Session Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Number of Guests
*
Please Select
1
2
3
4
Service Preference
*
Please Select
Sound session only = $22
Auricular Therapy w 2 Needles or 2 seeds = $44
Auricular Therapy w 5 Needles or 4 seeds = $66
First time trying Auricular Therapy?
Yes
No
How did you hear about us?
Health notes: (history of fainting, seizures, blood thinners, fear of needles, etc.)
*
Agreement
*
I understand this is an event reservation and I will complete payment via the link sent after submission.
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