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Referrals and Client Forms

Are you a medical provider or healthcare professional interested in referring your patient or client to our services? Contact us and we will find the best holistic solution to suit their needs. 

Prior to or during your new client consultation appointment you will be asked to complete an Integrative Health and Wellness Assessment™ (IHWA)-short form which will be used to evaluate and assess areas of your life including: life balance/satisfaction, relationships, spiritual, mental, emotional, physical/nutrition, physical exercise, weight, environmental factors and health responsibility.


This self-reporting tool assists our clients in assessing healthy behaviors through a self-reflection process, provides information for the coaching relationship, and may be an outcome measurement for future coaching sessions. Please allow 10-15 minutes to complete the assessment online.

Client Forms 

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