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  InVisionary Coaching & Mind-Body Therapy

Confidential Intake Forms​

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Please print and complete the above Confidential Client Intake form and Core Values and bring it with you to your first session.  If more than one person will be in the session (tobacco cessation, couples coaching, etc.) please complete one for each person.  Thank you. 

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CONSENT FOR THERAPIES OF A MINOR AGE 18 AND UNDER
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Consent of a Minor
Please print and complete the above Consent for Integrative Mind-Body Therapy of a Minor and bring it with you to the first session.  If more than one minor, please complete one for each person along with the Confidential Client Intake.
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InVIsionary Coaching
by Susan Webber
​ at
Thunderbird Professional Centre

​13760 N 93rd Avenue
Suite 105
Peoria AZ 85381

​602-525-2153
​
​All Rights Reserved - 2009-2021

  • Home
  • Meet Susan
  • Integrative Mind-Body Therapy
  • Specialty Mind-Body Sessions
  • Tobacco Freedom®
  • BOOKINGS / Contact / POLICY
  • Virtual Tour
  • Gift Certificates
  • FREE Guided Meditations
  • FAQ
  • Medical Support
  • Newsletter
  • Jung Personality Test