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Payment Form 
Please complete this form to purchase

Health Coaching Sessions or Physical Therapy Services
Select an item ($)
Payment
Options:
payment icons_edited_edited_edited.jpg
Zelle, Apple pay or Venmo
*If you prefer payments for your plan agreement, ask me about:
Zelle, Apple pay or Venmo options

 
Zelle, Apple pay or Venmo

Thank you for submitting this form!

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