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Washington Institute Of Natural Medicine
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Laura Lopez Rodriguez, LMT Question
Schedule - Laura Lopez Rodriguez
QUESTIONS OR APPOINTMENT SCHEDULING
Laura Lopez Rodriguez, LMT
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
Question
Therapy/ Service
*
--- Select One ---
Cranio-Sacral Therapy
Swedish Massage
Therapeutic Massage
Lymphatic Drainage
Deep Tissue Massage
Thai Massage
Pampering Papaya Facial
Sandalwood Sublime Facial
N/A
Other
If others, please specify
Location
--- Select One ---
3701 Connecticut Ave., NW #1
5239 Western Ave., N.W.
N/A
Length of Service
--- Select One ---
30 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.
*
I have read and agree with the policies
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