Please provide the following contact information:

First Name
Last Name
Phone
E-mail
Country

Talk with us about what we can do for you and your health.

What problems would you like to address?

For you or someone else?

Myself
Someone else

Select any of the following options that apply:

Physical
Emotional
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How would you like us to contact you?

Phone
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When would you like your appointment?

Session options:

First time sessions are 90 minutes for the discounted rate of $150.  Follow-up therapy sessions are billed at $120 per hour. 

First Session 90 minute therapy

      Top-level assessment at $150.

60 minute therapy

      $120. per hour for regular sessions.

Please review our release form to finish your session application. Release form

Quantum Wellness Center’s technology or personnel do not diagnose, treat, prescribe or claim to cure any disease.

However, it is the intent of Quantum Wellness Center to promote self-healing through information, biofeedback, healing frequencies and emotional support.

I understand that Quantum Wellness Centers, Inc. is not a medical practice, does not claim to heal illnesses, and will not guarantee any healing outcome that may result from their services.

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Your credit card number will be taken when you book your appointment.

To complete your sign-up click below

Lifestyle Index Form

We will need this information for your first session.

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