Before Book Your Treatment:

It is NOT necessary to have a referral from your Doctor, unless required by your insurance company. If you are unsure whether you will benefit from a visit, please contact us.

You may only need our advice over the telephone and we're happy to talk to you!

Personalized Health Form:

Basic Client Information

Every form remains secure and confidential.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Services Required

What service or services would you like to receive in todays session?

Select Treatment

Session Time

30 minutes

45 minutes

60 minutes

Medical Background

Tell me about you pain.

Booking

Date

YYYY

Time

Hour

Minute

Second

Clinic Fees

30 min treatment: $60.00
45 min treatment: $100.00
60 min treatment: $120.00

In our business we are sensitive to the environment, we've gone paperless and use this technology to increase productivity. If you're a member and you would like to make your reservation and pay online, please click right here. What is a member?