Service Inquiry Form

First name

Last name

Email

Phone

What would you like support with?

Type of Service

Special Group or Event

1:1

What Service(s) are you interested in?

Music Therapy

Sound healing

Guided Music Meditation

Reiki

Guided Journaling

Other Expressive Arts

Creative/Spiritual Ceremony and Rituals (release ceremonies, plant medicine, nature crafts and symbolic rituals)

Lullaby Writing/Womb Songwriting

Legacy songwriting/heartbeat song recording

Therapeutic Singing and Improvisation

Music assisted Childbirth

Prenatal and Postpartum Support

Speech and/or physical rehabilitation through music

Infant/child development support (language, social, behavioral)

Preferred Call Times/Dates

Please list a few timeframes and dates that work best for your complimentary exploratory phone call.

Location

Telehealth

In Person

If in person please indicate location preferences below.

Where are you located?

Anything else you would like for us to know?