counter create hit


Debby Vajda, LCSW-C
Complex Instant
Energy Therapy Network
What is Energy Therapy

Energy Therapy Bibliographies
Energy Therapy Discussion Groups
Distance Learning Courses
Free Downloads
Energy Therapy Instructional Tapes
Energy Therapy links
Energy Therapy Manuals
Energy Therapy Newsletters
Energy Therapy Practitioners

Energy Therpay Network
Energy Therapy
Application to join the Energy Therapy Network

Please fill out the form below and return either by e-mail or regular mail. Please also send $5, payable to Shawn Adler. You will be listed in the next edition of the directory. Additionally, if you have e-mail, you will be added to the listserve group, which you can unsubscribe from at any time. (Please only include your home address and/or phone number on this form if its okay to include it in the directory).

Send to:
Shawn Adler
800 Lake Windermere Ct. 
Great Falls, VA 22066
 
Email: shawn@ffbh.org

Name:

Profession:

Preferred Initials (example: PhD, LCSW-C,etc.)

Address:
 

City: State: Zip:

Office phone:

Home phone:

Email:

Therapies that you use:

Areas of specialization:

Additional comments which you would like to include in the directory:

Website:

Would you like to be included in a separate listing of people who work by telephone?

Name, address, phone number, FAX number, and/or e-mail address of others you know who might be interested: