• Holistic Coaching Intake Form

  • Personal Information

  • Session Package

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  • Acknowledgment

  • I hereby certify that all information about my health condition and nutrition are accurate and true with the best of my knowledge.

    I understand that I am responsible for consulting my physician or health care provider about any new or worsening symptoms. I furthermore understand that each session will only be resourceful and not serve as someone diagnosing any conditions or problems.

    I release Quatina Ealy from any liabilities,claims, and demands that may arise during these sessions.

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