Closing Bones Intake

Full Name *

Phone *

Email *

Address *

Are there any areas in the ceremony you would like to opt out? If so what?

What are the main reasons you chose this service?

Payment Details

Please select your payment preference below. Once you select your preference you will receive a invoice within your email to complete. After the invoice is complete you will be able to schedule your ceremony. If you are choosing 2 installments your second payment is due 72 hours prior to your schedule ceremony. There will be no refunds for your initial deposit, this is to ensure your commitment when selecting this service. As there is a lot that goes into this sacred exchange. You will have the chance to reschedule your appointment so your due date will shift with it. If you have any concerns you should reach out to Dr. Soul prior to making a payment.

Payment Preference *

Any Additional Comments, Questions Or Special Requests?

By signing this form I understand I am consenting to a exchange that involves my mind, body, soul, and spirit. I recognize that this is a sacred ceremony and will honor it by doing the instructed internal preparations prior to & after my session. I trust that Dr. Soul will also do the proper preparation to ensure that I am safe and surrounded by loving energies for my highest greatest good. I will respect this exchange and understand that the healing that will occur may catapult my evolution as energies within my body and etheric body settle in.

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