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Aryeh Wellness

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Aryeh Wellness

Aryeh WellnessAryeh WellnessAryeh Wellness

Signed in as:

filler@godaddy.com

  • Home
  • What is biofeedback?
  • LifeWave
  • What to Expect
  • Services
  • About Us
  • Testimonials
  • Forms
  • Contact Us
  • Cancellation & Privacy

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Client Forms and Privacy Notice

It's an exciting time, you have made the decision to be intentional to work on balancing the stressors in your body! The first step is to complete the Informed Consent and Release Form below. Once that is done, please complete the appropriate intake form and review the HIPAA Notice which can also be downloaded.

Please review forms below which are required before session

Informed Consent & Release Form

L.I.F.E Adult Client Intake Form

L.I.F.E Adult Client Intake Form

This form is required for all new clients. In this form you provide consent to receive biofeedback treatment from Aryeh Wellness.

Access Form Here

L.I.F.E Adult Client Intake Form

L.I.F.E Adult Client Intake Form

L.I.F.E Adult Client Intake Form

This form is required for all new adult clients. In this form you will supply contact information and acknowledge our cancellation policy.

Access Form Here

L.I.F.E Child Client Intake Form

L.I.F.E Adult Client Intake Form

L.I.F.E Animal Client Intake Form

This form is required for all new clients under the age of 18. In this form, the legal guardian will supply contact information and acknowledge our cancellation policy.

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L.I.F.E Animal Client Intake Form

L.I.F.E Animal Client Intake Form

L.I.F.E Animal Client Intake Form

This form is required for all new pet clients. In this form, the legal guardian will supply contact information and acknowledge our cancellation policy.

Access Form Here

HIPAA Privacy Notice

L.I.F.E Animal Client Intake Form

HIPAA Privacy Notice

This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. No signature is required on this notice.

Review Notice

Copyright © 2022 Aryeh Wellness - All Rights Reserved.


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