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The Lotus Concept Wellness
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    • Home
    • Our Team
      • Our Team Of Practitioners
    • Our Offerings
      • Coaching Consultations
      • Trichology/Hair Loss
      • Tapping / EFT
      • HeartMath
    • Scheduling
      • Scheduling
    • Our Store
      • Products/Programs/Books
      • Supplement Dispensary
      • Lab Testing
      • Specials
    • Blog
    • Contact
    • In the Media
      • In The Media
      • Videos
    • Resources
      • Discovery Session Forms
      • Wellness Consult. Forms
      • Tricho-Well Consult Forms
      • Books..Personal Favorites
The Lotus Concept Wellness

Signed in as:

filler@godaddy.com

  • Home
  • Our Team
    • Our Team Of Practitioners
  • Our Offerings
    • Coaching Consultations
    • Trichology/Hair Loss
    • Tapping / EFT
    • HeartMath
  • Scheduling
    • Scheduling
  • Our Store
    • Products/Programs/Books
    • Supplement Dispensary
    • Lab Testing
    • Specials
  • Blog
  • Contact
  • In the Media
    • In The Media
    • Videos
  • Resources
    • Discovery Session Forms
    • Wellness Consult. Forms
    • Tricho-Well Consult Forms
    • Books..Personal Favorites

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Health & Wellness Coaching consultation Forms

Consultation Form Instructions:

Consultation Form Instructions

To make the process simple and efficient, we operate as a paperless practice. Our website, email, and virtual conferencing platform are secure and designed to safely handle scheduling, payments, and the transmission of your records and information.

Please complete the three required consultation forms and return them at least 24 hours before your scheduled appointment. Receiving your forms in advance allows me time to carefully review your information and prepare for our time together so that your consultation can be as meaningful and productive as possible.

If you have any questions while completing the forms, please feel free to reach out—I’ll be happy to assist you.

Thank you in advance for your time and effort in completing these forms. We hope you will consider our programs as a pathway to discovering your own answers, results, and renewed hope.

Schedule your Free 45 min

Metabolic Assessment Form

Neurotransmitter Assessment Form (NTAF)

Toxicity Questionnaire

Assumption of Risk and Release of Liability

My Story

Instructions:

Your Story

The purpose of this form is for you to give a little more background information about yourself, condition, etc. 

In your own words please tell me "your story". Take as much space as you need. Please include the follow:

  •  When did your health challenges begin and how long before you sought help?
  • Did you get a diagnosis and medication? If so, what was the diagnosis, how often have your medications and dosages been changed?

FYI: It's most helpful if the information is given in a timeline format.

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The Lotus Concept Wellness

1-888-255-4159

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