Access Consciousness

ACCESS BARS ENERGETIC FACELIFT BODY PROCESSES These gentle modality will help calm the busy mind, relax your body and assist in removing blockages physical and emotional.

Book your appointment

Name*

Last Name*

Phone*

Address*

Date of Birth*

Email Address*

Service Name

Appointment Date*

Recent Vaccination: If yes, which one and when?*

Yes

Which one and when?

Pregnant?*

Yes

Pregnancy due date?*

Epilepsy*

Yes

Pace maker*

Yes

Other health conditions

How did you find me?

Have you ever taken a Bars class?*

Yes

When?*

Have you ever had your Bars run?

Yes

When?*

Do you have any difficulty lying flat?*

Yes

Do you need a pillow or to sit up slightly? Please explain*

What would you like to receive from your healing session? *

Image

Maximum file size: 5 MB

Please provide your image

I agree to the provided terms and conditions above.

Privacy Notice: No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under 18.