Contact Send us a message I treat ages 18-64 only This form must be completed by the person seeking care First NameLast NameEmail Address *Phone NumberBest days and times to reach you for a free 15-minute introduction callBriefly tell me why you are reaching outWho referred you?Will you be using insurance for our visit? If so, what insurance do you have? Send Message contact@WellnessLived.com 866-321-4640 866-321-1310 1489 W. Warm Springs Rd Ste #110 Henderson, NV 89014 BY APPOINTMENT ONLY
