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THANK YOU FOR REACHING OUT TO MIND HEART EVOLUTION!

PLEASE COMPLETE THE FOLLOWING TO SCHEDULE A SESSION OR TO CONTACT ME.

I LOOK FORWARD TO CONNECTING WITH YOU SOON.

FIRST NAME

LAST NAME

EMAIL

PHONE

REFERRED BY *

Individual*

Marketing Materials

Online Research

SKEWL

Soulfood Coffeehouse

NAME OF REFERRAL

Service Request (select all that apply)

Free Sample Session*

Energy Healing

Guided Meditation

Oracle Reading

Heart Awakening Course

Something Else

MESSAGE

HEAL NOW

I am not a licensed medical doctor, chiropractor, osteopathic physician, naturopathic doctor, nutritionist, pharmacist, psychologist, psychotherapist, or other formally licensed healthcare professional. Therefore, I do not render medical, psychological, or other professional advice or treatment, nor does she provide or prescribe any medical diagnosis, treatment, medication, or remedy. Nothing in this website should be construed to constitute healthcare advice or medical diagnosis, treatment or prescribing. I encourages you to seek the care of a licensed healthcare professional if you believe such care is required. Information or guidance provided by me should not be construed as a promise of benefits, a claim of cures, or a guarantee of results to be achieved. I make no guarantees or warranties related to provided services.

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