ALTERNATIVE FORM LINK ( If you are having "SECURITY WARNINGS", you may use this link to complete this form.)
 
Bioenergetic correction is not typically a health insurance reimbursable item. Some medical savings plans do allow for these services if they are billed as acupressure for allergies or pain control. 

Bill my credit or debit card twice a month for the sessions provided to the client. Bill my credit or debit card for the session(s) I received. I accept that it is my responsibility to keep track of the time I use or ask the Practitioner how much time I have used at the end of each session.
 
 
Bill my credit or debit card twice a month for the sessions provided to the client. Bill my credit or debit card for the session(s) I received. I accept that it is my responsibility to keep track of the time I use or ask the Practitioner how much time I have used at the end of each session.

If you have a session with a practitioner, then an invoice will be incurred and your credit card will be charged at the end of the bi-monthly billing period during which your session occurred.

Bi-monthly billing dates are always the same  1-15 Billed on the 17th. Then all sessions billed on the 16th thru last day of the month are always billed on the 2nd of the next month.

Statements are sent out on the 2nd after all billing is completed

You are not billed if you do not have a session with a practitioner.

 

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