Registered client? Sign in
Service:60 Minute Myofascial Release change
Jennifer Sheets LMT: Jennifer Sheets
Date/time:Thu, Nov 30 2017 at 10:30 AM (EST) change

*Clients are encouraged to utilize touchless payment options. On the next screen, you may use the prompt to pay via PayPal. (Pro tip: register your HSA to your PayPal to use your HSA card.) 

"Make a Payment" option will be emailed to you with your appointment confirmation. 
Checks are no longer accepted. Change can't be made for cash. 

*Gift Certificate/Package options are available on my website home page. (GC/PKGS Not eligible for HSA/FLEX) 

Registered user? Sign in
First name*
Last name*
Email*
Phone*
BIRTHDAY*
DATE OF BIRTH REQUIRED. Minors, under 16, must have parent present for the session and intake process. This includes being involved in health history, policy and consent for treatment forms.
ARE YOU A NEW CLIENT?*
NEW CLIENTS ARE REQUIRED TO PRE-PAY FOR FIRST APPOINTMENT. PayPal portal will pop-up on next screen. You don't need a PayPal account.
ILLNESS SCREENING*
SINCE YOU'VE LAST BEEN IN THE CLINIC, HAVE YOU HAD AND RECOVERED FROM COVID?*
You must select one. Looking for Post-Covid symptoms.
PRIMARY REASON FOR THIS SESSION*
DO YOU HAVE A GIFT CERTIFICATE OR TREATMENT PACKAGE?*
Please have code or last name of buyer available when in office. Cannot combine with other offers.
I'm seeking TMJD treatment during this session. *
I understand the risk that a portion of the treatment at the end is unmasked.
Health History Forms: Do I need to complete/update my secure forms? (Electronic HIPPA Secure Forms)*
You must select one. Updates include any new diagnosis, medication, procedure, treatments (including cortisone shots) .
Tip
* required field