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Experience Healing with
Indigenous Healing Studio
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Cord Cutting Ritual
First and Last Name
*
Date of Birth
*
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Day
Year
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Address
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City
*
Zip / Postal code
*
Phone
*
Email
*
Emergency Contact
*
Relationship
*
Phone
*
What are your goals?
*
Cut cords to someone who has passed over (please bring picture to session)
Cut attachments to a past relationship (Please bring picture to session)
Cut karmic cycles
Other
Please add sacred herbs to my session (Sage, Hopi Cedar, palo santo, sweet grass, osha root) - $15 extra
*
Yes
No
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