15 minute Self Healing Discovery Intake Form

Thank you for scheduling a
15 min. Self Healing Discovery Session.

I am excited to speak with you.

In order to get the most out of our 15 minutes there are two things you need to do:

  1. Please download, fill out and email back to me. Client Discovery Form
  2. Upload a photo (JPEG, GIF, etc. – file size under 8Mb) and email back along with the form.

You can also copy and paste the answers along with your selfie into
your email response.

I look forward to our time together.

Speak with you soon.

~ Melinda

To get started, I invite you to apply for your complimentary Self-Healing Discovery Session with me where we can explore how best to empower you on your healing journey.

“The session you guided was life changing. Just the part where we looked at the place indecision was holding, love, joy, enlightenment, was extraordinary. Thank you.”

~ I. N., Windyville, MO

“You have an extraordinary gift for zeroing in on the core emotional and spiritual issues that most need addressing.”

~ C. M., Napa, CA

“Hi Melinda, thank you from the bottom of my heart! I have had these headaches for 6 agonizing, frustrating, frightening months. I have spent hours and hours trying to clear them. You have saved my sanity. I am so thankful and grateful that you were there! Many hugs,”

~ Elizabeth, Foster City, CA

“Daniel here. Wow. Epic. It’s a brand new day here. Thank you. You were miraculous. I’m sure the first of many great adventures together!”

~ Daniel S. Sonoma, CA

“Feel great and laughing so much. [I] jogged this morning. I slept till 7:30 am. Wow. I haven’t done that for years. I want others to know what it is to live not just to exist in the world.”

~ S. Butterworth Aurora, Mo

“You have the great gift of moving me forward while allowing me to laugh at myself and the great and profound hilarity of it all. Thank you.”

~ S., Los Angeles, CA

“You have an extraordinary gift for zeroing in on the core emotional and spiritual issues that most need addressing.”

~ C. M., Napa, CA

“The session was nothing short of amazing. I continue to be amazed with my “new self” since our session. There have been numerous instances where the negative forces that used to shape my personality no longer seem to exist. In all the experience was beyond anything I would have expected.”

~ J. S., Florida