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Join date: Feb 22, 2023

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imaginehealing21

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Connect with us

First Name

Last Name

Email

Phone

Briefly describe what you're struggling with.

What specific modality of therapy are you looking for?

If, you select "Other", please indicate below.

Name of insurance

Birthday

Ironwood Square Building

300 3rd Ave SE Suite 302

Rochester, Mn 55904

(P): 507-703-6377

(F): 507-353-0566

**If you completed the new patient form, you do not have to fill out the 'connect with us' information box.

"Like a lotus flower, we too have the ability to rise from the mud, bloom out of the darkness and radiate into the world."

-unknown-

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