The MiChi Health EpiCenter at University Central | Cincinnati | Washington, D C

Design a MiChi Spa Spree for Your Corporation or Private Event Today!

Help us raise funds for envirnomental research and public health screening for toxicity. Just COMPLETE the FORM below and our Concierge's Desk will call you to confirm the Event, Appointment, Date and Time. We thank you, in advance, for your support.

Please Complete the SERVICE REQUEST FORM below to inform us of "HOW' we might serve you.

First Name
Last Name
Phone Number
Email
Requested Service Day (s)
Requested Service Date (s)
Requested Service Time (s)
MiChi Signature Massage Services		Massage (60) Minutes Massage (30) Minutes Massage (15) Minutes Medical Massage Rx
Requested Massage Therapist's Name
Requested Body Work Specialist's Name
Deep Cleansing Spas		iKinesio (TM) Hand Spa iKinesio (TM) Foot Spa
Health Screening		Diabetes High Blood Pressure EMF Radiation Sensitivity
Environmental Adaptation Consultation		Personal Bio-Shield Evaluation Cell Phone EMF Evaluation Cell Phone Mitigation Service Lap Top EMF Evaluation Lap Top EMF Mitigation Service Church Evaluation Home Evaluation Hospital Evaluation Clinic Technologies Evaluation Office Evaluation Schools Evaluation
Telemedicine		Conference Call Video Conference
Requested Consultant's Name
Convention \| Conference Services		Health Screening Campaign MiChi Wellness Spa Campaign Conference Speaker Request
Upload Conference Brochure here. . .
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