chillaxom.com
Open in
urlscan Pro
35.208.137.128
Public Scan
URL:
https://chillaxom.com/
Submission: On February 17 via api from US — Scanned from US
Submission: On February 17 via api from US — Scanned from US
Form analysis
2 forms found in the DOMGET https://chillaxom.com/
<form role="search" method="get" class="et-search-form" action="https://chillaxom.com/">
<input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>
POST /
<form method="post" enctype="multipart/form-data" id="gform_3" action="/" data-formid="3" novalidate="">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform-body gform_body">
<div id="gform_fields_3" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_3_8" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_8"><label
class="gfield_label gform-field-label" for="input_3_8">Full Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_3_8" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_3_7" class="gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_7"><label
class="gfield_label gform-field-label" for="input_3_7">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_7" id="input_3_7" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_3_5"
class="gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_3_5 gfield_product_3_5 gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_3_5"><label class="gfield_label gform-field-label" for="input_3_5">Donation Amount<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="gfield_description" id="gfield_description_3_5">Every $15 provides a treatment to a person in need of affordable primary healthcare. </div>
<div class="ginput_container ginput_container_select"><select name="input_5" id="input_3_5" class="large gfield_select" aria-describedby="gfield_description_3_5" aria-required="true" aria-invalid="false">
<option value="$20|20" selected="selected">$20</option>
<option value="$50|50">$50</option>
<option value="$100|100">$100</option>
<option value="Custom|0">Custom</option>
</select></div>
</div>
<div id="field_3_6"
class="gfield gfield--type-product gfield--input-type-price gfield--width-full gfield_price gfield_price_3_6 gfield_product_3_6 gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible"
data-js-reload="field_3_6" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_3_6">Enter Custom Amount<span class="gfield_required"><span
class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_product_price">
<input name="input_6" id="input_3_6" type="text" value="" class="large ginput_amount" placeholder="Enter Custom Amount" aria-required="true" aria-invalid="false" disabled="disabled">
</div>
</div>
<div id="field_3_2" class="gfield gfield--type-total gfield--width-full gfield_price gfield_price_3_ gfield_total gfield_total_3_ field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" aria-atomic="true"
aria-live="polite" data-js-reload="field_3_2"><label class="gfield_label gform-field-label" for="input_3_2">Total</label>
<div class="ginput_container ginput_container_total">
<input type="text" readonly="" name="input_2" id="input_3_2" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_3">
</div>
</div>
<div id="field_3_3" class="gfield gfield--type-stripe_creditcard gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield--type-stripe_creditcard-card" data-js-reload="field_3_3">
<label class="gfield_label gfield_label_before_complex gform-field-label" for="input_3_3_1">Credit Card</label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row" id="input_3_3">
<div class="ginput_full gform-grid-col" id="input_3_3_1_container" data-payment-element="false">
<div id="input_3_3_1" class="gform-theme-field-control StripeElement--card StripeElement StripeElement--empty">
<div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
<iframe name="__privateStripeFrame6426" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-c935e4865ee77cbad99943e1a92b43e6.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&style[base][backgroundColor]=transparent&style[base][color]=%23112337&style[base][fontFamily]=%22Source+Sans+Pro%22%2C+Helvetica%2C+Arial%2C+Lucida%2C+sans-serif&style[base][fontSize]=14px&style[base][fontSmoothing]=antialiased&style[base][fontStyle]=normal&style[base][fontWeight]=400&style[base][iconColor]=%23112337&style[base][letterSpacing]=0&style[base][:hover][backgroundColor]=transparent&style[base][:hover][color]=%23112337&style[base][:hover][iconColor]=%23112337&style[base][:focus][backgroundColor]=transparent&style[base][:focus][color]=%23112337&style[base][:focus][iconColor]=%23112337&style[base][:disabled][backgroundColor]=transparent&style[base][:disabled][color]=rgba(17%2C+35%2C+55%2C0.6)&style[base][:disabled][iconColor]=rgba(17%2C+35%2C+55%2C0.6)&style[base][::placeholder][color]=rgba(17%2C+35%2C+55%2C0.7)&style[base][::placeholder][fontFamily]=%22Source+Sans+Pro%22%2C+Helvetica%2C+Arial%2C+Lucida%2C+sans-serif&style[base][::placeholder][fontSize]=14px&style[base][::placeholder][fontStyle]=normal&style[base][::placeholder][fontWeight]=400&style[base][::placeholder][letterSpacing]=0&style[invalid][color]=%23112337&style[invalid][iconColor]=%23c02b0a&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51GSPeXBOiTEpSd04bnGTB2612Lw8actl3AUZlkcYKk0245Vz9PS52uEAMMD3o3IB3r0m1CP7pNz7QFKMYdoC4nVa00SfdQZvxm&referrer=https%3A%2F%2Fchillaxom.com%2F&controllerId=__privateStripeController6421"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div><label for="input_3_3_1" id="input_3_3_1_label" class="gform-field-label gform-field-label--type-sub">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full gform-grid-col" id="input_3_3_5_container">
<input type="text" name="input_3.5" id="input_3_3_5" value="">
<label for="input_3_3_5" id="input_3_3_5_label" class="gform-field-label gform-field-label--type-sub">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
<style type="text/css">
:root {
--link-login-string: "Link login"
}
</style>
</div>
<div id="field_3_9" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_3_9"><label class="gfield_label gform-field-label"
for="input_3_9">CAPTCHA</label>
<div id="input_3_9" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LduyjkpAAAAANyP-yNPWHf_hq4YFS9px1zS-zmy" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-mcosv3evxeg7" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LduyjkpAAAAANyP-yNPWHf_hq4YFS9px1zS-zmy&co=aHR0cHM6Ly9jaGlsbGF4b20uY29tOjQ0Mw..&hl=en&v=yiNW3R9jkyLVP5-EEZLDzUtA&theme=light&size=normal&cb=v3y9iykaxr5h"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_3" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} jQuery("#gform_3").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_3" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="3">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_3"
value="WyJ7XCI1XCI6W1wiMzNiNTMyYTU1ZDI0MWE2ZTZmY2U4OWNjYzg5YjJmMzlcIixcImIxYTU0ODRhOTk0NWVmODg3MmU0ZDM1ZmQ0MDU0ZDJjXCIsXCJjYjIyMTZhMjI5ZWYxODJjMjBhZjExYzhjNGE4MDg1ZFwiLFwiNTE3YzJhNDUwODI5ZmM5NDcyZjcxMTQ5MzFiNmExZjdcIl19IiwiNDE4NzZkY2MwMDM2ZTU5MjlhZTJlY2M2ZTY1MDUwYjAiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_3" id="gform_target_page_number_3" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_3" id="gform_source_page_number_3" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<input type="hidden" name="pum_form_popup_id" value="1995">
</form>
Text Content
We value your privacy We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies. Customize Reject All Accept All Customize Consent Preferences We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below. The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... Show more NecessaryAlways Active Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data. No cookies to display. Functional Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features. No cookies to display. Analytics Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. No cookies to display. Performance Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. No cookies to display. Advertisement Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns. No cookies to display. Reject All Save My Preferences Accept All * Schedule * New Medical Client * New Coaching Client * Appointments In Clinic * Telemedicine Sessions * Highlands Ranch Clinic * Services * Therapeutic Acupuncture * Facial Acupuncture * Herbal Medicine * Acupressure & Cupping * Exercise Therapy * Weight Loss * Reiki/Chigong Energy * Health & Life Coaching * Workshops * 6 Week Healthy Habits * Anti-Aging Facial Care * Mind-Body Mastery * Veteran’s Workshop * PDA/CEUs Acupuncturists * Guest Coaches * Learn * Common Questions * 3 Causes Of Disease * 4 Pillars Of Health * 5 Elements Mind-Body * Blog Articles * Newsletter Signup * Shop * Anti-Aging Facial Care * Supplements * Lab Test Kits * Acupressure Ear Seeds * Life Wave Technology * Nutrient Bath Soak * Donate * Chillax Om Foundation * Community Acupuncture * To Mind-Body Mastery * To Veterans Workshop * Corporate Sponsorships * About * About Andrea * Testimonials * Awards * Media Kit * Speaking Engagements * Contact Select Page * Schedule * New Medical Client * New Coaching Client * Appointments In Clinic * Telemedicine Sessions * Highlands Ranch Clinic * Services * Therapeutic Acupuncture * Facial Acupuncture * Herbal Medicine * Acupressure & Cupping * Exercise Therapy * Weight Loss * Reiki/Chigong Energy * Health & Life Coaching * Workshops * 6 Week Healthy Habits * Anti-Aging Facial Care * Mind-Body Mastery * Veteran’s Workshop * PDA/CEUs Acupuncturists * Guest Coaches * Learn * Common Questions * 3 Causes Of Disease * 4 Pillars Of Health * 5 Elements Mind-Body * Blog Articles * Newsletter Signup * Shop * Anti-Aging Facial Care * Supplements * Lab Test Kits * Acupressure Ear Seeds * Life Wave Technology * Nutrient Bath Soak * Donate * Chillax Om Foundation * Community Acupuncture * To Mind-Body Mastery * To Veterans Workshop * Corporate Sponsorships * About * About Andrea * Testimonials * Awards * Media Kit * Speaking Engagements * Contact WELCOME TO CHILLAX OM ACUPUNCTURE & DR. ANDREA RENEE, DACM, LAC ABOUT DR. ANDREA RENEE Be Your Own Medicine and Forever Young. Overcome Stress, Orthopedic & Musculo-Skeletal pain & Premature Aging. Achieve Peak Performance. Enjoy Highest Quality of Life & Longevity. Be Empowered to Live Your Best Life with Customized Yoga, Meditation, Chigong, Asian Bodywork Therapies, Acupuncture, Herbal Medicine and Lifestyle Design. Learn More DACM Doctor of Acupuncture and Chinese Medicine L.AC. (Licensed Acupuncturist) MATCM Masters of Acupuncture and Traditional Chinese Medicine ABT-CP AOBTA.ORG Certified Asian Bodywork Therapist NCCAOM National Certification Commission for Acupuncture and Oriental Medicine – Diplomate of Oriental Medicine LEARN ABOUT CHILLAX OM ACUPUNCTURE CLINIC AND OWNER DR. ANDREA RENEE, DACM, LAC: Watch this video to learn how acupuncture can stop pain and stress as well as boost energy, peak performance and more! Plus hear how acupuncture helps Dr. Andrea manage her own daily chronic pain long-term without side effects of prescription drugs or surgery. Awarded Top Doctor 2023 in the Best In California Magazine Doctor Edition Dr. Andrea Rivera DOCTOR OF ACUPUNCTURE AND CHINESE MEDICINE chill·ax ōm: A State of Being Calm, Cool, Confident, Relaxed, Happy and at Peace. Enjoying Vibrant Health. Dr. Andrea Renee’s journey to become a Doctor of Acupuncture and Chinese Medicine began when she was run over by a taxi as a pedestrian in New York City in 1994. With a 90% chance of death from that accident, it was the life changing moment when she first experienced PTSD and became a chronic pain patient. Since then, she has been building and using her mind-body medicine tool box to walk and work again. As an acupuncturist, yoga instructor, energy worker and acupuncturist continuing education provider, speaker and trainer, it’s her resolute mission to help others end their own suffering by becoming their own medicine so they too, can live beyond their challenges, into their highest potential and make a lasting positive impact on humanity. Her clinical acupuncture practice is in Pacific Palisades, CA. Dr. Renee holds Doctoral and Master Degrees in Acupuncture with Orthopedics and Chigong specializations from Pacific College of Health and Science in San Diego, CA and Yo San University in LA, CA, respectively. She completed externships at Venice Family Clinic and The Wellness Center at LA County USC Hospital. In addition, she also became an American Organization of Body Work Therapies of Asia (AOBTA.org) certified Asian Body Work Therapist and Energy worker as she completed the extensive 4000-hour CA State Acupuncture Board Tutorial Program as a Doctoral Fellow, Assistant Clinic/Herbal Medicine Supervisor and Board Exam Tutor at AOMA University in Austin TX, the top 5 acupuncture college in the USA. As a CA state licensed Acupuncturist and Primary Care Physician, Dr. Renee offers both live treatments and self-care training in her Pacific Palisades private practice as well as on retreats, plus one-hour telemedicine virtual consults by appointment. CLIENTS LOVE DR. ANDREA WONDERFUL “Wonderful [5 Element Architecture of Being Human personal development course] presentation today!… You can participate in [this personal development group’s] evolution and growth!” ~C. L., NY, NY in regards to Dr. Andrea Renee's 5 Element Architecture of Being Human personal development course EMPOWERED LEADER “Andrea Renee is an empowered leader. Her insights and inherent wisdom combined with her extensive study make her a gift to those she supports.” ~S.H., Victoria Island, Canada in regards to Dr. Andrea Renee's Life Coaching Services SHE IS AMAZING “My step son has kidney stones often and the last time was severe…Andrea, who is a doctor of Chinese medicine, [recommended this herbal medicine] to him [that] dissolved the stone and he didn’t even feel it pass. Crazy I know but after that he stayed on it and hasn’t had another since…She is amazing.” ~S.L., Dallas, TX in regards to Dr. Andrea Renee's Herbal Medicine Treatment Watch And Read More Testimonials FOLLOW ON SOCIAL * Follow * Follow * Follow * Follow * Follow Newsletter Sign Up RESOURCES Services Workshops Learn Shop Donate About SITE LINKS Home Blog FAQs Contact Privacy Terms CONTACT ADDRESS 7071 Ski Trail, Evergreen Colorado 80439 EMAIL ChillaxOm@gmail.com PHONE (310) 461-7494 Copyright © 2024 ChillaxOM. All Rights Reserved. Designed and Powered by Harlow Reseburg III CHILLAX OM NON-PROFIT 501C3 COMMUNITY ACUPUNCTURE Full Name(Required) Email(Required) Donation Amount(Required) Every $15 provides a treatment to a person in need of affordable primary healthcare. $20$50$100Custom Enter Custom Amount(Required) Total Credit Card Card Details Cardholder Name CAPTCHA x REGISTER HERE FOR OUR SUN. 4/30/23 EVENT Oops! We could not locate your form. x Notifications