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Client Request  Forms

Tell me about yourself so that I can tailor my HeartShine Healing services to your individual needs.  Complete your request for a session below and click on SUBMIT button to generate an email request to me.  I will return your message as soon as possible.

Thank you for your connection! Message sent and we will respond asap.

HeartShine Healing Gift Card Request  Form

Give the gift of a HeartShine Healing to your loved ones.  Complete the required fields in the form below to submit your detailed request for a HeartShine gift cards.  Once payment is received, a gift card will be generated and sent directly to your email which can be printed and/or sent electronically to your family and friends. 

Thank you! Your request is sent and we will respond asap.

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