Client Information

ALL CLIENTS: If this is your first session with me, please fill out the following:

Health History

 

Waiver and Liability of Release

 

NOTE: Clicking on the above underlined words will open a new web page with the appropriate form.

All forms are hosted by Google Workspace, which is in compliance with the US. Health Insurance Portability and Accountability Act (HIPAA). This governs the safeguarding, use and disclosure of protected health information. In summary – your protected health information is safe and secure.

Office Policies

contains information about cancellations, late/no show, appointment times, session lengths, refund policy, what to do in inclement weather and sickness, my contact information, parking information and a map.

 

Notice of Privacy Policies

describes how your health (medical) information may be used and disclosed, and how you can get access to this information. 

NOTE: Clicking on the above underlined word will open a new page.

Check out the FAQ for particulars about what to expect during and after a session.

My Practice

I'm not currently accepting new clients. 

Please use thye CONTACT page to leave me a message.

Blessings,

Chris

© 2023, The Healing Jewel, LLC.