top of page

Thank you for your interest in working with Luminous Soul!

Please complete the intake form below prior to our phone consultation so I can prepare for our conversation and better understand how I may assist you.


I look forward to connecting with you soon!

Type of service interested in (check all that apply):
What is your main reason for requesting a session? (check all that apply)
Do you currently have an IUD?
Yes
No
Please check (√) below if you have been experiencing any of the following:

Elizabeth’s Credentials:

Bachelor of Science Degree   

Foundational Herbalism Certifications, Western & Tropical

Usui Reiki - Master Teacher Level Certification  

Traditional Yucatec Maya Practitioner, lineage of Miss Beatrice Waight

Pelvic Breath-flow Certification

Sacred Sound Therapy Certification

Compassionate Deposession

Informed Consent:

Client information is confidential unless the client requests a written release.  Services, advice, and products offered do not diagnose, treat, or cure any illness or disease. Clients are responsible for their healthcare choices. Herbal recommendations should be discussed with a licensed physician. Discontinue use of herbal products if irritation occurs and seek medical attention. Luminous Soul, LLC is not liable for lost or stolen items.

Payment & Cancellation Policy:

Payment is due at the time of service. My preferred method of payment is cash, check, and Venmo. Credit cards are subject to a $5 fee. We value your time and ours. To reschedule or cancel a healing session, we require at least 48 hours’ notice. Cancellations made with less than 48 hours’ notice may be subject to the full session fee. Services and herbal products are non-refundable. Thank you for your understanding and respect for this policy.

Date
Month
Day
Year
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
bottom of page