Schedule Your Appointment Today! 



OFFICE Appointment Request Form

Contact us today to schedule your appointment. For a quick and easy process please complete the form below. You will receive an email or phone call to confirm appointment request within 72 hours of submission. If your request cannot be accomodated, an alternate date will be offered. If you prefer to be contacted via phone, please indicate so in the comment section. Please note sections with asterisk are required.


If you prefer to schedule by phone, call Intrinsic Health Source @ 203-450-0786. 

To schedule massage appointments by phone, kindly call the massage therapist Laurie Millo directly @ 203-258-0780.


Thank you for choosing Intrinsic Health Source to service your wellness needs.

Please note: After you click submit, you will be directed to Intrinsic Health Source's "Stay Connected" page. Take a moment to explore the various ways to receive health and wellness news and information.

First Name: *
Last Name:
Phone: *
Email:
First Choice for Appointment
(please indicate DATE and TIME):
*
Second Choice for Appointment:
(please indicate DATE and TIME):
*
Location Preferred: *
Preferred Practitioner:
Session Length: 
Additional Questions/Comments: *

 HOME PARTY
 Appointment Request Form

Received an invitation for a Home Party?

Then this is the place to RSVP for an appointment time!

Schedules vary to meet the needs of the specific party. Therefore, once you RSVP, you will receive an email within 72 hours with an appointment time. If you prefer to receive your time via phone, please indicate that in the comment section below.

Appointments are determined based on the times established by your host/hostess as indicated on your invitation. If you need to be scheduled within a specific time frame, please indicate that in the comment section. Appointments are on a first come basis, so the sooner you RSVP, the more likely your request can be accomodated. If you prefer to RSVP by phone, call 203-450-0786.

Thank you for allowing your host/hostess and Intrinsic Health Source provide this moment for relaxation, rejuvination and renewed energy. I look forward to meeting you at the party.

Please note: After you click submit, you will be directed to Intrinsic Health Source's "Stay Connected" page. Take a moment to explore the various ways to receive health and wellness news and information.

 

First Name: *
Last Name:
Phone: *
Email: *
Host/Hostess Name: *
Holistic Home Party Date: *
Type of Session: *
1st choice for appt time *
2nd choice for appt time  
Comments:



Payments:
 Medical Insurance is not accepted. Intrinsic Health Source accepts cash and check as payment methods. Holistic Therapies and Wellness Services are generally not covered by insurance. However Health Savings Accounts and Health Flex Accounts may offer some coverage. Please check with your individiual insurance carrier to explore possible wellness benefit reimbursements.

Discounts: Helping you incorporate holistic therapies and wellness services into your healthcare plan and financial budget, Intrinsic Health Source provides several opportunities to receive services at a reduced rate.

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