Thank you for your interest in
Ascension Pathways & Waking Up as a Spiritual Being.

For over 20 years, Teresa Ann Foxworthy has been helping men and women with their meditation goals. Her practice includes: Many types of Meditation Instruction, Spiritual Counseling, Reiki Treatments, Chakra Balancing, Sound Healing, Law of Attraction Life Coaching, Retreats, Work-Life Balance Counseling, Holistic Spiritual Healing, Pain Relief Counseling, and over 20 other alternative medicine programs.

Let's get started with this brief Request Form.
Once received, we will be in touch within 2-3 business days.

Let's Begin!
 
What's your first name? *

 
Hi {{answer_IHk1ya45tLzB}}, nice to meet you.

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What's your best phone number, area code & number?

Area Code / Phone Number
 
CURRENT MEDICATION

Are you on any medication or self-medicating? *

     
 
Are you able to comfortably climb stairs? *

     
 
SELF-CARE
Which healing traditions do you feel most comfortable with at this time? *


 
HOLISTIC MODALITIES

Which holistic modalities most appeal to you now? *


 
OBJECTIVES
What do you most want from these sessions? *


 
SCHEDULING & FEES
To see the greatest benefit from our sessions it is important that we proceed at regularly intervals, preferably weekly or bi-weekly.

Sessions are $75/hr., payable by cash, check, credit card, or Paypal. 

It must be noted, that Teresa does not accept insurance of any kind. However your insurance may reimburse you. If this is important to you, please ascertain that before we begin our first session.

So, how often will you want sessions?*

*


 
STARTING DATE
How soon would you like to begin?


 
*TERMS

Please read and indicate that you accept the following private session policies.*

1. Sessions require pre-payment in order to confirm date, time, etc. for appointments.
2. Sessions will begin and end on time, unless mutually agreed.
3. Cancellations more than 24 hours in advance will result in a credit for a future private session.
4. Cancellations less than 24 hours in advance or session no shows will forfeit the full session fee.
5. Single sessions must be used within 30 days of original purchase date.
6. 4-8 session packages must be used in their entirety within three months of original purchase date.
7. 12-session packages must be used in their entirety within six months of original purchase date.  
8. Refunds are not available.
9. Client takes full responsibility for his/her health & well-being as they explore these modalities.
10. Client realizes these sessions ARE NOT a substitute for any & all medical treatment, now or in the future.

*


 
Almost done! Just one last thing.

ATTUNEMENT SESSIONS are a journey into self-awareness, self-discovery, & self-mastery.

They can be relaxing, energizing, or both.

As the weeks unfold, you will learn new skills for self-care & discover a greater capacity for living life to the fullest.

Is this OK with you?

If so, I look forward to working with you.

If not, perhaps you'll keep this information,
and bookmark this page, for future reference.

Kindest regards,

Teresa Ann Foxworthy
Meditation Instructor & Spiritual Counselor
ASCENSION PATHWAYS:
Waking Up as a Spiritual Being
San Diego - San Francisco - Washington, DC
Website: http://AscensionPathways.com
Tel: (415) 289-2213

Shall we begin? *

     
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