Synergy Wellness Center Forms

PDF Downloads – Please download, print, fill out and bring with you to your first session or workshop.

  1. Acupuncture Intake Form PDF

Online Forms – Please fill out online and submit at least 24 hours before your first session or workshop.

  1. Acupuncture Consent to Treat
  2. Client’s Representations and Warranties
  3. General Waiver and Release of Liability
  4. Synergy Wellness Cancellation Policy
  5. Notice of Privacy Practices

PDF Download – Please download, print, fill out and bring with you to your first session or workshop.

  1. COVID-19 Liability Waiver PDF

Online Forms – Please fill out online and submit at least 24 hours before your first session or workshop.

  1. Client’s Representations and Warranties
  2. General Waiver and Release of Liability
  3. Synergy Wellness Cancellation Policy
  4. Notice of Privacy Practices

PDF Downloads – Please download, print, fill out and bring with you to your first session or workshop.

  1. Massage and Energy Clients Intake Form PDF
  2. COVID-19 Liability Waiver PDF

Online Forms – Please fill out online and submit at least 24 hours before your first session or workshop.

  1. Client’s Representations and Warranties
  2. General Waiver and Release of Liability
  3. Synergy Wellness Cancellation Policy
  4. Notice of Privacy Practices

PDF Downloads – Please download, print, fill out and bring with you to your first session or workshop.

  1. Life Coaching Contract PDF
  2. Life Coaching Intake Prep Questions PDF 
  3. Life Coaching Client Intake Master Intention List PDF
  4. COVID-19 Liability Waiver PDF

Online Forms – Please fill out online and submit at least 24 hours before your first session or workshop.

  1. Client’s Representations and Warranties
  2. General Waiver and Release of Liability
  3. Synergy Wellness Cancellation Policy
  4. Notice of Privacy Practices

PDF Downloads – Please download, print, fill out and bring with you to your first session or workshop.

  1. Hypnosis Client Intake Form PDF
  2. COVID-19 Liability Waiver PDF

Online Forms – Please fill out online and submit at least 24 hours before your first session or workshop.

  1. Client’s Representations and Warranties
  2. General Waiver and Release of Liability
  3. Synergy Wellness Cancellation Policy
  4. Notice of Privacy Practices