Client Information Form | Metamorphosis Havening

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Please contact me via... (check all that apply) *

Email

Text

Home Phone

Cell Phone

Work Phone

Are you currently recieving mental health services and/or taking medication for a pyschological condition? *

Yes

No

Thanks for submitting!

Elena Kindler is a certified practitioner of Havening Techniques.

Havening Techniques is a registered trade mark of Ronald Ruden, 15 East 91st Street, New York. www.havening.org

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