Online Inner Healing Sessions

I look forward to working with you! Please fill out these two linked forms and submit them. You can sign with your mouse, trackpad, or on a touch screen. I must have both forms signed and submitted before our first session.

I will contact you via email to schedule your appointment. I am in the office Monday-Friday, so if you fill this out over the weekend, I will get to you in the order of notifications on Monday. Please let me know on the form if there are particular days/times that you need and I will do my best to schedule during those times.

Thank you so much and I’m honored to be able to help you onward towards greater healing and wholeness.



Disclosure, Consent, and Information

Please note that the form is HIPPA compliant for your safety and security.