Name *

First Name

Last Name

Phone *

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What services are you interested in? *

IV therapy: Muscle Recovery

IV therapy: Immune Boost

IV therapy: Detox and Hangover

IV therapy: Energy Boost

IV therapy: Fat Burner

IV therapy: Myers Cocktail

IV therapy: Migraine Recovery

IV therapy: Prenatal Support

IV therapy: Hydration

IV Half Bag: Energize

IV Half Bag: Pain Relief

IV Half Bag: Active Amino Blend

IV Quick Push: Immune Boost

IV Quick Push: Nausea Relief add on

Injections: Diabetes/Liver Aid

Injections: B-Complex Booster

Injections: B-12 Booster

Injections: Pain Buster add on

Injections: Nausea Buster add on

Injections: Fat Burner

Swedish Massage 90 Minutes

Swedish Massage Full Hour

Swedish Massage Half Hour

Swedish Massage 15 Minute

Kinesiology/Muscle Testing

EFT/Tapping

Trapped Emotion Clearing

Reiki Half Hour

Migraine Rescue Package

Healy Frequency Therapy

Sound Bed Healing Full Hour

Sound Bed Healing Half Hour

Lymphedema Pumps

Cephaly Migraine Device

TENS Treatment

Massage Chair Half Hour

Massage Chair Full Hour

Foot Care

Ionic Detox Foot Soak

Alpha-Stim Depression/Anxiety Treatment x 4 sessions minimun

Energy/ Chakra Reading & Balancing

Facial Massage & Cryotherapy 15 Minutes

Facial Massage & Cryotherapy 30 Minutes

Preferred Date

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Time

Hour

Minute

Second

AM PM