Ahmed Huang - PAY AS YOU GO

PAY AS YOU GO
Client Information Form

Fill out this form to book your session
Full Name*

First NameLast Name
Email*
example@example.com
Age as of right now*
Country

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List 2-3 issues you want to heal
Rate your top priority issue on scale of 1-10

1

2

3

4

5

6

7

8

9

10

1 is Lowest level of discomfort/pain, 10 is Extreme level
Has somebody referred you?*
If you answered YES, Please list their name so we can Thank them
CONSENT
- You understand your participation in these healing sessions will not treat or diagnose any disease, illness, or ailment and if you should experience any such issues you should see your registered physician or other practitioner as determined by your own judgment.
- You understand this session is not a substitute for health care,medical or nutritional advice of any kind.
- You understand and agree that you are fully responsible for your mental well-being, mental, and physical choices and decisions during and after the Session.
- You understand that we do not offer any representations, warranties, or guarantees,verbally or in writing, regarding any results of any kind.
- You give consent to Ahmed Huang to connect with you energetically during the session in order to perform the healing.
All the information shared by the client and all the record of session reports is kept confidential and not shared with anyone without client's consent.
Yes I give my consent
Any additional info you want to share

PAY AS YOU GO Sessions

Body Code Session

1 Email SessionPlease allow 24 hrs. to get the confirmation email with your session date. Detailed report will be emailed after the session is done.

$333.33 Quantity

1 Video Session (1 Hr via Zoom)Please allow 24 hrs. to get the confirmation email with your session date. Detailed report will be emailed after the session is done.

$444.44 Quantity

PSYCH-K® Session

1 Video Session (1.5 Hr. via Zoom)Please allow 24 hrs. to get the confirmation email with your session date. Detailed report will be emailed after the session is done.

$555.55 Quantity

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PAY AS YOU GO

Client Information Form