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New Client Intake Form

Welcome to Metaphysical Coding® with Cherie.

Thank you for choosing to begin your energy healing journey with me. To ensure your session is tailored to your unique needs, I’ve combined the New Client Intake Form and Client Consent Form into one simple document.

By completing this form, you’ll provide important insights into your current state, goals, and focus areas, helping me individualise your session and support you more effectively. Your information will be kept strictly confidential and will never be shared without your explicit written permission.

Please take a moment to fill out the form before your first session. Once completed, simply click ‘Submit’ to confirm your agreement to the terms and proceed with your healing journey.

Thank you for choosing Metaphysical Coding®. I look forward to working with you and supporting your transformation.

New Client Intake Form

Age range
Location
2. Will this be your first energy healing experience?
5. How would you prefer to approach your healing journey? After a session, some people may experience temporary emotional sensitivity, tiredness or other such side effects as their body adjusts and integrates the energetic shifts from a session. While this is a natural part of the healing process and varies for everyone, please select the option that feels most comfortable for you. This will help me customise your session for the best results.
Consent:

Metaphysical Coding with
         

Cherie

Ready to experience healing guided by your Higher Self? Connect with me to explore personalised healing frequency codes, energetic tattoos and more.

Get in Touch

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Address                                               PO Box 425

Australind, Bunbury WA 6233

OR 

20 Teddington Rd, Burswood WA 6100

info@metaphysicalcoding.com

Opening Hours

Monday To Thursday  10:00 - 17:00

Saturday  10:00 - 14:00

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Disclaimer: Energy work completed by Cherie Jackson, Metaphysical Coding with Cherie, and this website is not a substitute for medical care or consultation. The information contained in these materials is intended for personal educational purposes and for energetic balancing only. No representation contained in these materials is intended as medical or mental health advice and should not be used for diagnosis or medical treatment. Individual results may vary, and there are no expressed or implied guarantees of results. If you are experiencing a medical condition or have questions regarding a medical symptom and/or treatment, please seek your licensed healthcare professional, mental health professional or doctor for all advice and treatment.

Copyright © 2020 Metaphysical Coding - All Rights Reserved.

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