Information to complete a booking process

Please give us brief information about yourself.
You will be contacted via the channel you prefer for the confirmation
once our therapist reviews your request.
By submitting your information, you’re giving us permission to contact you.

Urgent need for a therapy session, Please contact us via Line or WhatsApp channel
(QR codes for Line & WhatsApp are at the bottom of the page).

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First Name

Phone

Line ID

WhatsApp number

Preferred Contact Channel(required)

Phone Email Line WhatsApp

Preferred day and time (for example, Weekday morning or Sunday afternoon)

Current Concerns

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For urgent need to make an appointment,please contact us via Line or WhatsApp.

For urgent need to make an appointment,
please contact us via Line or WhatsApp.