top of page
  • Phone
  • Email
  • Instagram

Sliding Scale Form

At Yours truly Holistically we believe that everyone deserves support & that is why we offer a sliding scale to those who cannot afford the current rates. If you're currently financially struggling or unable to afford the current rates, please fill out the form bellow.

Date of birth
Year
Month
Day
Do you promise that everything you have filled out in this form was honest & true?
Yes.
No.
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Monday 8:30am to 6:30pm

Tuesday 8:30am to 6:30pm

Wednesday 8:30am to 6:30pm
Thursday 8:30am to 6:30pm

Get our Newsletters

Thank you so very much !

Yours truly holistically

bottom of page