Make sure you..

Fill out the form below, before your appointment!

First Name *

Last Name *

Email *

Do you have a pacemaker or any battery operated machinery in you body? IF SO NOTE YOU CAN NOT MAKE AN APPOINTMENT FOR THE FOOT BATH OR ANY OF THE TUNING FORK (VIBRATIONAL & ARICULOTHERAPY) THERAPIES *

yes

no

Have you had this service before?

yes

no

Do you have any allergies?

yes

no

if so please list:

How would you rate your health?

Excellent

Great

Good

Are you currently under doctors care?

yes

no

If so please list restrictions

WOMEN ONLY, Are you pregnant or chance of pregnancy?

yes

no

Phone *

I agree to terms & conditions provided by the company. By providing my phone number and email, I agree to receive text messages/emails from the business.

Contact Us

[email protected]

903.492.6172

2004 W Grande Blvd Tyler, Tx