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Client
Forms
New Client Information Form 2011-2012
For all new clients, please fill out the New Client Information form. This is also the form parents should fill out for their children.
For homeopathic intakes, please fill out the form above and either scan/email back, save and email back or print and bring with you if you are seeing Jenifer in person. For other options, contact us.
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METHODS & WEBSITES
Empowerment Business *NEW Living Sensitive *NEW ~~~~~~~~~~~~~~~~
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2000-2016 | Jenifer Shapiro and The Empowerment Centre All Rights Reserved. No reproduction of ANY type without written authorization. |