APPOINTMENT FORMS

Please download and fill out the appropriate forms. 

Prior to 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

Consultation Consent Form (pdf)

Download

HIPAA Privacy Notice (pdf)

Download

Consultation Intake Form (pdf)

Download

Mini Consultation Intake Form (pdf)

Download

Coaching Agreement (pdf)

Download

Coaching Assessment (pdf)

Download