Wellness Consult Intake, Barbara Christensen, HLWC, CPT, CA, NTP

Women's Wellness Consult Intake Form

DISCLAIMER: Barbara Christensen, your holistic coach, is not a medical doctor. Barbara Christensen is not engaged in rendering professional medical advice or services to the individual reader. The ideas, procedures, and suggestions contained within your coaching session and any additional programs or emails are not intended as a substitute for consulting with your physician. All matters regarding your health require medical supervision. Barbara Christensen is not be liable or responsible for any loss or damage allegedly arising from any information or suggestions within any of her coaching or related programs and marketing. You, as someone that has reached out to me as a certified aromatherapist, certified personal trainer and holistic life coach, nutritional therapy practitioner with a diploma in personal nutrition and are totally and completely responsible for your own health and healthcare.

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    Free Consult

    This form will provide you with a phone or video one-on-one, 30-minute holistic and/or energy consultation. Should you desire to continue please be aware of the following: Session Cost: $100 per hour unless other arrangements or bundles are created. Recommended session time is 1.5 hours = $135, or two hours = $170 Cash, Check, and credit cards are accepted. Outcalls available with travel fee. Fees are subject to change. Financials and Late Policies: 1. Payment for services is due at the time services are rendered unless other arrangements have made. 2. Please give 48 hours notice to cancel appointments when necessary, to avoid being charged for the appointment. 3. Please be on time. If you are late, your session may be shorter in order for me to honor other clients. You will still be responsible for the full time you have scheduled. 4. Returned check fees are the financial responsibility of the client. 5. Health insurance companies cover Reiki only when it’s woven into comprehensive treatment programs such as physical therapy, massage or palliative care or as part of routine care during a hospital stay. To continue to do the best job possible for you, using the latest in alternative practices, we cannot accept or file health care insurance claim forms. 6. We are not participating providers in Medicare, Medicaid or any other government sponsored programs or insurance plans. 7. You are responsible for all services provided at the time of treatment and take full responsibility for all bills incurred for treatment. Barbara Christensen, CA, NTP, CRM, CBP, HLWC, CPT www.PaleoVegeo.com / www.BijaCoaching.com