Full Name

Email *

Phone *

What Can We Help You With?

Booking a PEMF Therapy Session in Guanacaste, Costa Rica

Virtual Support in Purchasing a PEMF System

I want to become a PEMF Practitioner / PEMF Sales

I want more information on how PEMF Therapy can help

Other

If other please specify:

Preferred PEMF Therapy Session Date:

Preferred Contact Method:

Your Personal Needs + Goals

What are your main reasons for seeking PEMF Therapy?

What specific areas do you want to focus on healing? ( ex: Physical Health, Pain, Mental Health, Nervous System, Sleep, Fatigue, performance, etc. )

What are your top three goals you wish to achieve through PEMF Therapy?

Have you tried PEMF therapy before? If yes, what was your experience?

How did you hear about us?

Thank you! We are looking forward to speaking with you soon.

I Consent to PEMF PURA VIDA contacting me by my preferred method to learn more information on PEMF therapy, arrange a Zoom meet up, WhatsApp call or email correspondence.