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Sound Healing Intake Form

Please provide your full name.

Please provide your preferred e-mail address. 

Sound healing sessions may vary in length depending on the needs of the client. Please  choose from the drop-down menu above the length that you prefer.

Schedule a Session

Please choose the date and time from the menu below. Please note that week day sessions are only available in the evenings: 6:30 to 9:00 p.m. US Eastern Standard Time. Weekend sessions start at 11:00 a.m. and run through 6:00 p.m. US Eastern Standard Time.

Start Session

Choose a start time

End Session

Choose an end time

Please describe briefly your experience with sound healing (i.e. if you have listened to sound baths, or have had any experience with music therapy). If you have no prior experience with sound healing, please enter N/A.

Please list any focus areas and/or issues – be it health related, or emotional – that you would like this sound healing session to assist in resolving, or alleviating. If you are scheduling this session for general wellbeing, with no particular focus in mind, please enter N/A.

Please feel free to share any other information that could be taken into consideration to facilitate meeting your personal goals for this session.


Sound healing is a complementary healing modality and should not be considered as a form of medical treatment, or diagnosis.

Select an item ($)
Thank you for booking a distance sound healing session!
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