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FORMS

Please download and fill out the appropriate forms prior to our scheduled appointment. 

E-mail completed forms to: Kim@TheWellnessMindsetCoach.com 


NEW Herbal Consultation Clients

- Consultation Consent Form

- HIPAA Privacy Notice

- Consultation Intake Form

- Mini Consultation Intake Form (NOT for new clients)


NEW Coaching Clients

- Coaching Agreement

- Coaching Assessment


NEW Energy Work Clients

- Energy Work Session Consent Form

 (use for both Reiki and Chakra Balancing sessions)

Consultation Consent Form (pdf)

Download

HIPAA Privacy Notice (pdf)

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Consultation Intake Form (pdf)

Download

Mini Consultation Intake Form (pdf)

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Coaching Agreement (pdf)

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Coaching Assessment (pdf)

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Energy Work Session Consent Form (pdf)

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