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  • Rates / Intake Form
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Cancellation Policy:

•  Please allow 24 hours notice of cancellation prior to your scheduled appointment.


•  Missed appointments without notice are charged 100% of the session scheduled.


•   Cancellations within 24 hours are charged $30.


• Medical emergencies are exempt.

Schedule and Fees:

Schedule and Fees:

Schedule and Fees:

 Monday  - Saturday

(By appointment only)

My regular rates are:

• 30 min - $50

• 60 min - $100

• 90 min - $130

* $15 off 1st session for all new clients

*$10 off next appt when scheduled within 3 weeks

(60 or 90 min appts only)

Visa / Mastercard / Checks / Zelle

Venmo / CashApp / PayPal accepted.

* Prices subject to change without notice

Client Intake Form

Schedule and Fees:

Schedule and Fees:

(By submitting this intake form, I agree to the above stated terms & conditions of the cancellation policy.)


  1. Open the intake form & save a copy to your device
  2. Complete all fields including comments
  3. Email as an attachment to: 

davede@bodysourcecw.com

Client Intake Form

Headaches and Migraines ~ TMJ Disorder ~ Sciatica Pain ~ Carpal  Tunnel Symptoms ~ Postural Imbalances ~ Pain from Functional Scoliosis ~  Tennis Elbow ~ Plantar Fasciitis ~ Thoracic Outlet Syndrome ~ Exercise  Soreness ~ Fibromyalgia ~ Whiplash 

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