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MYO MONDAY SIMONE SPECIAL PROMO- Form Submission Final Day! 8/4/25

Promotion Terms & Agreement Form

We’re excited to offer our Myo Monday Simone Special — a limited-time opportunity for patients to receive $100 off a bundle of 4 myofunctional therapy sessions with Simone, our newest therapist!

Promotion Details:

  • Offer valid for active patients or patients of record only.

  • Must purchase a 4-session bundle at the time of booking to qualify.

  • All sessions must be scheduled for Mondays between 3:00 PM – 7:00 PM at our Chino Hills office.

  • Full payment for the 4 sessions must be collected up front in a single transaction to receive the $100 discount.

  • The total discount will be applied as $25 off per session.

  • These sessions are non-transferable and must be completed with Simone only.

  • This applies to regular 50 minute myofunctional therapy sessions.

  • Exams and Functional Re assessments are Excluded

  • No refunds will be issued once the package is purchased, regardless of attendance or cancellation.

Patient Acknowledgment & Agreement

By signing below, I confirm that I understand and agree to the terms of the “Myo Monday Simone Special” promotion. I acknowledge that:

  • I am an active patient or a patient of record.

  • I will schedule all 4 sessions for Mondays between 3:00 PM and 7:00 PM with Simone.

  • I will pay in full at the time of booking to receive the $100 discount.

  • I understand that the payment is non-refundable and non-transferable

  • I understand that this only applies to regular myo sessions

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