Online Appointment Request

Leslie's Lighthouse Reiki

Appointment Request
Your Information
Are you a NEW client? *

Yes, I am a NEW client. No, I am an EXISTING client.
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Appointment Info
Instructions: Select up to three (3) preferred appointment dates and times.

Please note our business hours:

MON-FRI: 9:00 AM - 8:00 PM // SATURDAY: 9:00 AM - 7:00 PM // SUNDAY: 10:00 AM - 5:30 PM
Appointment Location *

In Person Remotely
Type of appointment *

30 minute healing 1 hour healing
1st Preferred Date *

Month Day Year
Time Range *

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
2nd Preferred Date *

Month Day Year
Time Range *

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
3rd Preferred Date/Time *

Month Day Year
Time Range *

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
IMPORTANT: You will be contacted by me to confirm your final appointment date and time. Your request is not complete without a final confirmation.
Disclaimer: Although I strive to accommodate your preferred appointment dates and time, I cannot make any guarantees due to a number of conditions, including, but not limited to: business hours of operation, equipment, availability, and holidays. Please allow me up to 24-hours to respond to your appointment request. If you are requesting an appointment within the next 24-48 hours, I ask that you please call us to help expedite your appointment request: (xxx) xxx-xxxx.
Enter the message as it's shown *
Should be Empty:

Leslie's Lighthouse Reiki

Your Information

Appointment Info