ReNew Life Healing Center
Complimentary Consult Request
ACCEPTING NEW CLIENTS (ages 12 and over) ON A REFERRAL BASIS ONLY
The first appointment with Margery Thomas at ReNew Life Healing Center is a complimentary consult (20 minutes).
I understand in order to qualify for a consult I must have a referral and meet the age requirement (12 years and older)
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Appointment Type Preference
First & Last Name of Applicant
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Age
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If under 18, name of of Parents or Guardians
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If applicant is under 18, it is a requirement for both parents to be in agreement to consult Margery Thomas at ReNew Life Healing Center.
Cell Phone Number
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Email Address
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First & Last name of person who referred you to ReNew Life Healing Center.
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ReNew Life Healing Center is open by appointment after 4:00pm on Tuesdays and between 9:15am-5:00pm Wednesday - Friday. What is your preferred appointment day/time?
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What is your primary health concern?
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I understand that ReNew Life Healing Center is not a medical facility. RNLHC does not diagnose disease or make claims to cure disease. Future members are advised to seek medical advice from a licensed MD.
I understand that the initial complimentary consult will not include recommendations but will be for informational purposes only.
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