Booking Form

Upon submitting the form below you will be directed to make your payment.  After receiving your payment, you'll be emailed directly to schedule your consultation date and time.

All information submitted will forever and always remain completely confidential.  

Which service are you booking today?

CLIENT DATA

arrow&v
arrow&v
arrow&v

BIRTH DATA

arrow&v
arrow&v
arrow&v
arrow&v
Please understand that your consultation is for informational purposes only; does not constitute and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, mental health professional, or other qualified health provider with any questions you may have regarding such issues of concern. By checking this box, you agree to take full responsibility for any and all decisions and outcomes that may derive from information shared in this session.
© WaxingAstroLogic 2022