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INTAKE FORMS

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Client  Forms 

Client Intake 

Informed Consent

Notice of Privacy

Electronic Communications

Client Rights and Responsibilities 

Acknowledgement of Privacy 

Authorization for Use or Disclosure 

3-Day Food Diary 

Client Payment and Session Agreement

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        Come to know the difference between living and being truly alive

 

                                          Shel Fanelli, MSCN, RYT200

Plaza Executive Suites Kierland

6424 E. Greenway Parkway

Suite107

Scottsdale, AZ. 85254

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©2022 BY SHELSMYCOACH

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