Reiki Appointment Form
All appointments are one hour. You may request an appointment Monday - Saturday 10 - 6. You will receive a confirmation email or call. Treatments are $50.00 unless otherwise negotiated.
Full Name
*
First Name
Last Name
Phone Number
*
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Area Code
Phone Number
E-mail
*
Desired Date & Time for Appointment
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Month
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Day
Year
Date Picker Icon
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Hour
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10
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50
Minutes
AM
PM
AM/PM Option
Additional Information/Comments
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