Questions or Appointment Scheduling

Rev. Jo Ann Grace Harley, CNA, GNA, CHHP, NT

* Required Fields

Please leave this blank *First Name

*Last Name

*Telephone

*E-mail

Question

*Therapy/Service

If Other, please specify

Location

Length of service

Requested dates and times (Please provide at least three dates and times)

*Are you a new or repeat client?

Notes/Comments

Office Policies

We are not a spa, but rather we are an alternative medicine facility. Our goals are health and healing oriented. Due to this focus there may be unforeseen delays due to health problems we may need to handle. So please be patient at your time of visit.
If cancellation is necessary please notify our office as soon as possible. If you cancel the day before your visit after 8pm or the same day as your visit a cancellation fee of $30.00 to $50.00 may apply.

If you Purchased a Promotional Voucher Please Read

All Washington Institute Promotional Vouchers have expired several years ago. If you have contacted us because you have purchased a voucher recently please look at your voucher and contact the company that has advertised it. Thank you.

I have read and agree with the policies


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Home About Us Main Office Maryland Centers Meet Practitioners Scheduling Ask a Question Products Definitions Forms Testimonials Services & Fees Therapies Ailment Guide Special Offers Phone Consultation Classes Contact Us Hours & Directions Videos Articles Useful Links New Customer Feedback		Questions or Appointment Scheduling Rev. Jo Ann Grace Harley, CNA, GNA, CHHP, NT * Required Fields Please leave this blank First Name Last Name Telephone E-mail Question Therapy/Service If Other, please specify Location Length of service Requested dates and times (Please provide at least three dates and times) Are you a new or repeat client? Notes/Comments Office Policies We are not a spa, but rather we are an alternative medicine facility. Our goals are health and healing oriented. Due to this focus there may be unforeseen delays due to health problems we may need to handle. So please be patient at your time of visit. If cancellation is necessary please notify our office as soon as possible. If you cancel the day before your visit after 8pm or the same day as your visit a cancellation fee of $30.00 to $50.00 may apply. If you Purchased a Promotional Voucher Please Read All Washington Institute Promotional Vouchers have expired several years ago. If you have contacted us because you have purchased a voucher recently please look at your voucher and contact the company that has advertised it. Thank you. I have read and agree with the policies If you have any problem with this form, please contact us.

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