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Begin Your Cosmic Consultation – Session Intake Form


Every chart is a story — this form helps me gather the details I need to understand yours, prepare your chart, and guide our session with clarity.

Please complete the questions below with care and sincerity. All responses are kept strictly confidential. Once submitted, we will be in touch within 24–48 hours to confirm your session and share payment instructions.

Tell us a bit more about yourself

Choose Your Reading

Choose Your Reading
A
B
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Focus of Your Session/ Specific Questions?

Any additional information or questions?

Proof of Payment :

Consent and Agreement
Please confirm the following: (Checkboxes – Required)

Consent and AgreementPlease confirm the following: (Checkboxes – Required)
Signature