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Washington Institute Of Natural Medicine
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Rev. Jo Ann Grace Harley, CNA, GNA, CHHP, NT Question
Schedule - Rev. Jo Ann Grace Harley
QUESTIONS OR APPOINTMENT SCHEDULING
Rev. Jo Ann Grace Harley, CNA, GNA, CHHP, NT
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
Question
Therapy/ Service
*
--- Select One ---
Natural Health Care Exam
Reflexology
Acupressure
Anointed Touch
Lymphatic Drainage
Glymphatic Drainage
Guided Stretch Therapy
N/A
Other
If others, please specify
Location
--- Select One ---
Olney, MD
5239 Western Ave., N.W.
3701 Connecticut Ave., N.W. #1
8380 Colesville Rd., #600, Silver Spring, MD
N/A
Length of Service
--- Select One ---
60 Minutes
90 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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