Skype or Phone Session Application Form

Give the gift of healing to yourself or a loved one. We are now offering One-to-One Skype or Phone Sessions. This is an opportunity to book a 50 minute appointment with one of our therapists.

Please select the session you are interested in. Once you purchase the session(s), we will send intake documents for you to complete and submit. Arrangement will be made for one of our coaches to connect with you.

If you have any questions, please email us at

Pricing is in Canadian dollars. For Non-Canadian Residents, all pricing is in US dollars. 

Skype or Phone Session Packages Available:*
Costs are subject to 5% GST
Date of Birth*
Is your billing address same as your current address?*
Billing Address
Name on Card*
Card Type*

I understand that should circumstances prevent me from keeping an appointment, a minimum 24 hours notice is required for any change. I understand all fees are non-refundable and should I miss a session without providing required notice I understand no credit for the missed session will be provided.

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