Application form

I am very excited to have the opportunity to bring healing and guidance to your life. So I can prepare for our session, please get cozy and complete the form below.
Name *
Name
Phone
Phone
What kind of session are you looking for? *
About the work
Please let me know if you are currently undertaking any medication, have any physical or mental condition I should be aware of. This is extremely important, if you have any questions please ask.
Please review and acknowledge below *
RELEASE & WAIVER OF LIABILITY Read Terms and Conditions
FOR SCHEDULING OR INQUIRIES, PLEASE CONTACT US AT: INFO@THEINTIMACYGUIDE.COM | +52 1 (984) 1524975