Ancestral Realms

Ancestral GenoChart-Processing Intake Form 

In a few words describe your intent for our Ancestral Geno Chart Session.
Have you had any kind of emotional therapy in the past? *
Have you experienced any of the following:*
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Welcome to my practice!

As you are initiating contact, I would like to familiarize you with the process here at Ancestral Realms.

 

Appointments are set on an individual basis: Monday through Friday 10 am - 5 pm.  


Meetings and Communications are in-person office visits. Setting appointments occurs via email, phone or in person. Please keep email and phone messages concise and business oriented.  We apologize there is no text-ability. All personal information is to be shared during our in-person-times together.

  

Payments are made by check, cash or via PayPal (additional fees may apply). 

The Ancestral Purpose Reading is a 2 session process:

  1. Session 1 elicits all relevant information to create the GenoChart, the foundation for your reading. (90 minutes)
  2. Session 2 provides the reading, which you may record (45 minutes)

The Ancestral Purpose Reading fee is $360.


Cancellation Process:

For one on one appointments we have a reservation with you and give up other appointment opportunities to accept yours. As time and space is set for you, we practice with a 7 business day cancellation or reschedule policy. If you are unable to keep your scheduled appointment, kindly provide notice by calling: 610-513-2757. Business days are Monday through Friday.


Cancellation rates: Rescheduling rates are $75. Missed appointments or late cancellations are full fee: $180-290. True emergencies are most certainly honored and free of charge.


Thank you for taking the time to prepare me to work with you competently. I look forward to meeting and exploring with you how to be of service to you! 


Once your intake is received, the next step is to set appointment times. I will contact you as soon as I receive all of your information - no more than 3 business days past reception.

 

Kindly,

Andrea Bosbach Largent, msw, sft