Touch Therapy

Touch Therapy Form

LivingWell Cancer Resource Center offers touch therapy services, including reflexology, massage, reiki and facials. We offer a maximum of five touch therapy appointments for patients diagnosed with cancer. To make an appointment, please complete the form below.
Name*
First Last
Email Address*
Date of Birth*
MM slash DD slash YYYY
Primary Phone*
Primary Phone Type
Emergency Contact Name*
Emergency Contact Phone*
Emergency Contact Phone Type
Primary Cancer Type*
Treatment Service
- Massage
- Reflexology
- Reiki
- Facial
Service Location
- Living Well Geneva
- Living Well Warrenville
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A Consent and Release Form is required or all Touch Therapy Services.

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Northwestern Medicine Living Well Cancer Resources Geneva
442 Williamsburg Avenue
Geneva, IL 60134
630.933.7860

Northwestern Medicine Living Well Cancer Resources Warrenville
4525 Weaver Parkway, Suite 103
Warrenville, IL 60555
331.732.4900

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