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The Heart Medicine - Booking form for Individual Sessions

What is your full name?

What is your email address?

What is your phone number (Whatsapp/Telegram)

Location Preference

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B
C

Choose your preferred individual session

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B

Pick a slot

Intention & Notes

Is there a specific intention, life transition, or area (physical tension, emotional rest, connection with nature) you would like to explore during our time together?

Contraindications & Sensitivity Check

Terms & Disclaimer Confirmation

Cancellation & Rescheduling Policy

I honor the time, energy, and preparation that goes into holding space for each individual session, and I kindly ask that you respect this commitment as well.

Rescheduling (48+ hours notice): You may reschedule your session free of charge up to 48 hours prior to your appointment time.

Late Cancellation (Less than 48 hours notice): Cancellations or requests to reschedule made within 48 hours of your session will incur a 50% fee of the session cost.

Same-Day Cancellation / No-Show: Cancellations within 24 hours or missed appointments without prior notice are non-refundable (or billed at 100% of the sliding-scale session rate).

Emergency and illness exceptions are always handled with care and personal understanding. If you are feeling unwell on the day of your in-person session, please get in touch as soon as possible so we can shift your appointment online or reschedule safely.