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New Client Registration
Please fill out prior to first appointment

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I understand that this service is for coaching and not medical services. The coach is not a medical practitioner and does not provide medical advice or diagnosis. In addition, therapy services will not be given, services will be of coaching and consulting nature. Please click the box and sign below.

Payment is expected at time of service or prior to services. Services will not be given without prior payment.

Cancellation policy - 24 hours notice before appointment time or you may be subject to a $25 cancellation fee.

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