Request a booking
Please fill out the form to let us know what you are looking for. 
We will respond within 24 hours.

Thank you in advance! 
Synergetic Therapies - Mihaela Stamate B.Sc, RMT, R.Ac
Sign in to Google to save your progress. Learn more
What are you seeking treatment for? *
First Name *
Last Name *
Email address *
Phone number *
Preferred day of the week *
Required
Preferred booking time  *
Required
Is there anything else you want to share? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy