Alignment Application

We're so thrilled your alignment has lead you to work with us!
Please take a moment to tell us about your wellness journey and how we can best support you!

*Please note all initial in-person sessions are 90 minutes- please refer to our website for pricing (90 minute sessions)
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Full Name *
Email *
Phone number *
Preferred Availability (daytime, evenings, saturdays, etc.) *
Services of Interest *check all that apply *
Required
If you chose distance healing, please specify which healing sessions you are interested in
What calls you to Holistic healing at this moment? (intentions, aspirations, wellness goals, etc.) *
Are your currently receiving support from other modalities/practitioners? *if yes, please list all modalities and how often. *
Tell us about your current at-home wellness routine (meditation, journaling, podcasts etc.) *
Please list any other at-home wellness resources you are interested in incorporating to your wellness routine or would like to learn more about *
Which level of support do you require at this time? *
Required
What is the most important thing you would like for me to know about your healing journey? *
FREE SPACE* Feel free to tell us anything you feel would be most beneficial about your healing story- use as much or as little detail as you like. We're hear to listen, no judgments!
Your turn! ASK US ANYTHING. Please feel free to ask any questions you may have about our offerings, programs or how we can best support you.
Referred by: *if applicable
Do you have a gift certificate? *
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