New Client Intake Form | Metaphysical Coding
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New Client Intake Form

"Welcome to Metaphysical Coding® with Cherie! In order to streamline the process, I have combined my New Client Intake Form and Client Consent Form into one convenient document. By submitting this agreement, you are entering into an agreement with the energy practitioner and giving your consent for the Energy Healing Session(s) provided.

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I kindly ask that you please complete the form below prior to your first Metaphysical Coding® energy healing session.

Rest assured that all information you provide will be treated with the utmost confidentiality, in accordance with legal requirements. I will not disclose any of your information without your explicit written permission.

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To proceed with your energy healing session, please take a moment to complete the form below with your details. By submitting this form, you are acknowledging your agreement to the terms outlined in this document. Simply click the 'Submit' button when you're ready.

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Thank you for choosing Metaphysical Coding®. I look forward to working with you!"

New Client Intake Form

3. Have you ever had a healing treatment (complementary therapy) before?
5. Are you currently receiving other alternative therapy treatments?
6. Do you have allergies/sensitivities?
7. Do you have any recent injuries?
8. Do you find time to relax or meditate
9. Do you consider yourself to be psychic and/or intuitive?
10. Do you know how to muscle test yourself or use a pendulum?
11. Do you find time to exercise?
12. Have you had any surgeries within the last 12 months?
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