Heartful Healing Session Intake and Informed consent form.
Please fill out and submit this form before our appointment. This helps us both become clear on the intention of our time together and allows me to hold space for you.  The form could cause some anxiety and take breaks and pause when needed. Your health and wellbeing is my greatest concern. If for any reason you are unable to finish form please email me at ninafields@gmail.com or text.
Should you need to contact me, please do so through www.theheartfulhealer.com or by calling 1.604.727.6817
Sign in to Google to save your progress. Learn more
Email *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.