Consultation Form

NeuroBalanced FREE Consultation

There is no cost or obligation for this consultation
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Check all that you are interested in:*

Equine/Horse TherapyNeurofeedbackArt TherapyPolychromatic / Infrared Light TherapyCBD OilLife CoachingAssessmentsMeditation
Check all that you are currently struggling with:*

AnxietyDepressionPTSDInsomnia/Lack of sleepPanic attacksChronic painCurrent or past traumaLow self-esteemIrritabilityAggressionIntrusive thoughtsHopelessnessObsessive/compulsive behaviorsOther
Are you experiencing any other conditions/symptoms not mentioned above? If so please list below.
NeuroBalanced does not accept insurance and is Private Pay only. Please mark below stating you are aware and accept.*

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NeuroBalanced FREE Consultation