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Janine Burnham Ruth
Holistic Health Consultations
CONTACT Me for a free 15 minute consultation to understand my services, find out if they are right for you, or to experience an emotional clearing technique.
Autonomic Response Testing Client Forms
You have the option of either downloading these forms in .pdf format or completing the on-line form below (Scroll Down).
Your completed .pdf may be faxed or mailed, or scanned and sent via e-mail, or completed and brought with you for your initial visit. Mailing address, fax number, and email address can be located HERE on the Contact Us page.
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Initial Consultation Necessary Forms: 1. Consultation Agreement, 2. Consent Form, 3. History Form
Consultation Agreement
Consent Form
Follow-Up Consultation Necessary Forms: (coming soon!)
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