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The naturopathic stop-smoking wellness coach, psychologist, author, & speaker [ MyStopSmokingCoach.com ] a k a Edward Blomgren, PhD, GG Insurance Coverage & Tax Deductibility | My ROI-based Philosophy | Helpful Aids | My Current Wait List Time | Also see www.Edward Blomgren.com | A Creativity Coach for You | Who Is Dolores?
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Client Paperwork Every profession has a certain amount of paperwork, but the good news is I only require three brief documents before we can get started. You have two options: (1) submit them quickly on-line [see below]; or (2) you can print them, fill in the appropriate blanks, sign, date and fax or mail them to me (OR, I can send them to you by regular mail¾ whichever is easiest for you):
1. To submit this paperwork quickly
on-line right now, please click here.
OR 2. Fax or Real-mail: Click each document below, print out, read carefully before signing and fax or mail to me (if there are any questions, please ask me before signing):
Fax all documents to 518.483.4823 or mail to Edward Blomgren, Ph.D., Postal Box 123, Owls Head, NY 12969. I'll sign them and mail back a copy to you.
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Privacy Statement | Complimentary consultation | Medical Disclaimer | A few photos Hidden goodies for you | My 110% Guarantee | Stop smoking products
© Copyright 2002 - 2009, Edward R. Blomgren, Ph.D. All rights reserved Free consult 518.483.4823 Website is maintained by Ian
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