Request a Session

To assist in the scheduling process, please fill out the following form. All information provided on this form, as well as your session, is 100% confidential. Thank you!

Please note: Deborah’s work is very different than a typical therapy session or an intuitive reading in that there is very little discussion. Discussion tends to slow down the process, so it is recommended that you list what you would like to address in your session on this form. Payment is requested at the time of scheduling to reserve your appointment.

Remember to hit “Send Form” at the bottom of this page to send your information.

    * Required Field

    First and Last Name *

    City/State *

    Your Time Zone *

    Email Address *

    PLEASE MAKE SURE EMAIL ADDRESS IS CORRECT
    This form will not be sent correctly without a valid email address. Your email will not be added to any email lists without your consent.

    Which type of session are you requesting? *

    Private SessionGroup Session

    Contact Phone Number *

    Please Include Area Code
    (if international, please enter phone number exactly as it would need to be dialed from the US)

    Preferred Method of Communication *

    International clients are confirmed by email

    How would you like to pay for your session? *

     

    Private session:

    What days of the week are you available to START a session between the
    hours of 8:00am and 11:00am PST? Please check all days that you are available.

    Group session:

    Please enter the preferred date or dates in the text box below.

    Is there anything specific you would like to address in your session?

    Who referred you or what inspired your interest in a session?

    I have read the FDA disclaimer (can be found at the bottom of this page)

    The FDA requires that we inform you…

    The US Food & Drug Administration (FDA) prohibits the making of health or therapeutic claims for effects relating to any physical or mental illness except by members of the medical profession and/or other FDA approved licensed practitioners. Conscious Repatterning sessions are powerful catalysts for transformation and self healing, however they are not intended to be a substitute for treatment from an FDA approved licensed practitioner. The content of this web site and the information revealed in your session is meant for educational/entertainment purposes only and has not been approved by the FDA, AMA or any other governmental institution. The services and products herein offered are not intended to replace therapy or medical services. These services are not meant to diagnose, treat or cure any disease, nor do they substitute for a healthy life style, proper nutrition, health regimen or necessary medication. If you are experiencing a mental, emotional, or physical disorder please continue appropriate supervision and/or treatment as deemed necessary by a licensed practitioner. It is your sole discernment as to when, why and how to apply the information made available to you in your session.