Schedule your two preference
times for appointments
Conveniently communicate special
interest or needs.
Don't forget your family members
and friends! Complete a separate order for each person.
The
Reconnection
& Reconnective Healing
RH-3
Reconnective
Healing Session - Three Healing Sessions
$300
TR-2
The
Reconnection -
Two Reconnection Sessions on two consecutive days
$333
ORDER ONLY AFTER YOU HAVE SCHEDULED APPOINTMENT
PREFERENCES BELOW
Hypnotherapy - Hypnosis
HCH-1
Hypnotherapy Hypnosis Session - One Session
$120
HCH-3
Hypnotherapy Hypnosis - Three Sessions
$333
ORDER ONLY AFTER YOU HAVE SCHEDULED APPOINTMENT
PREFERENCES BELOW
Personal & Professional Life Skills Development
Skills-1
Personal
Life Skills Development Session - 1 Session
$120
Skills-3
Personal
Life Skills Development Session - 3 Sessions
$333
Pro-1
Professional Life Skills Development Session - 1
Session
$120
Pro-3
Professional Life Skills Development Session - 3
Sessions
$333
ORDER ONLY AFTER YOU HAVE SCHEDULED APPOINTMENT
PREFERENCES BELOW
Therapy
T-1
Therapy
Session - Therapeutic Hour
$90
ORDER ONLY AFTER YOU HAVE SCHEDULED APPOINTMENT
PREFERENCES BELOW
Consulting
Consult
Consulting
Order this item to indicate interest in specialized
consulting or clinical social work items. We
will then communicate by phone or email on your
special needs.
$Estimate
Misc
Special
Client items
$Estimate
Misc-2
Special
Client items
$Estimate
ORDER ONLY AFTER YOU HAVE SCHEDULED APPOINTMENT
PREFERENCES BELOW
Name:
Email
Address:
Phone:
Preferred
Appointment Date:
Preferred
Appointment Time:
:
Enter
Your time zone. We will adapt to you.
Gender:
Age:
Best
time to
contact you:
SECOND Preference for Appointment Time
Name:
Preferred
Appointment Date:
Preferred
Appointment Time:
:
Enter Your time zone. We will adapt to you.
Other
Information or Messages:
Tell us about special concerns, traveling schedules, special
questions,
anything that will help us schedule best appointment
times.
Please make referrals about family and friends here too.
They will thank you!
Please fill in ALL information. It
is the minimum we must have to serve you.
We will contact you by EMAIL. We will not use your
phone to contact you.
Secure Online Ordering with Visa,
MasterCard, American Express, Discover
Merchant on your card statement is
Burbach-WellnessKansas
Ordering,
refund, appointment canceling.
Your policies
Quick Links to Mind Body Spirit Whole Human Health Resources:
Products, Profiles and Training:
WELLNESS &
HEALING
Personal Transformation
& Professional Growth &
Development Physical, Emotional, Mental, Mind, Soul, Spirit.
Holistic Whole Body Health &
Wellness
Energy Medicine, Distance Healing. Energy Field medicine.
Wellness Profiles Tests
Online
Wellness Kansas.
Reconnection, EFT, EMDR,
Reiki, Diamond Inlay, Quantum Touch, RoHun.
BODY HEALTH & WELLNESS Bioidentical Hormones Therapy Symptoms
Tests: Bio-identical Hormones
Replacement Therapy Bioidentical Hormone Replacement Therapy: BHRT Free symptoms
profiles of
hormone health
Online hormones
tests: estrogen, progesterone, dhea, testosterone,
adrenal, thyroid, saliva
tests
Body Identical. Online Male Hormone
Tests. Online Female Hormone
Tests. Saliva Kit
tests.
TRANSPERSONAL & SOUL PSYCHOLOGY 2010 Horoscope
Profiles: Astrology
2010 Horoscopes Predictions, Numerology, Tarot
Cards Esoteric
Astrology: Theta Healing, Energy Medicine, Energy
Psychology, Energy Field
Healing Law of Attraction: The Secret, Losier, Hicks.
Business Seminars, speaking, workshops Add page to Favorites-Visit often!
Use
Adobe Reader v7.0+ for docs. Free
Adobe Acrobat Reader for PDF