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Amy D. Wenhold CPT, CNS, CHFI, CST Question
Schedule - Amy D. Wenhold
QUESTIONS OR APPOINTMENT SCHEDULING
Amy D. Wenhold, CPT, CNS, CHFI, CST
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
Question
Therapy/ Service
*
--- Select One ---
Stretch Therapy Session
Health and Fitness Consultation
Personal Fitness Training
Nutrition Plan for Weight Loss
Post Rehab Training
Aquatics Therapy
Sports/Competition Specific Training
N/A
Other
If others, please specify
Location
--- Select One ---
Olney, MD
18644 Tanterra Way, Brookville, MD 20833
N/A
Length of Service
--- Select One ---
30 Minutes
45 Minutes
60 Minutes
N/A
Are you a new or repeat client?
*
--- Select One ---
New Client
Repeat Client
Requested dates and times (Please provide at least three dates and times)
Notes / Comments
Office Policies
We are not a spa, but rather we are an alternative medicine facility. Our goals are health and healing oriented. Due to this focus there may be unforeseen delays due to health problems we may need to handle. So please be patient at your time of visit.
If cancellation is necessary please notify our office as soon as possible. If you cancel the day before your visit after 8pm or the same day as your visit a cancellation fee of $30.00 to $50.00 may apply.
If you Purchased a Promotional Voucher Please Read
All Washington Institute Promotional Vouchers have expired several years ago. If you have contacted us because you have purchased a voucher recently please look at your voucher and contact the company that has advertised it. Thank you.
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I have read and agree with the policies
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