The naturopathic stop-smoking wellness coach, psychologist, author, & speaker

 [ MyStopSmokingCoach.com ] a k a  Edward Blomgren, PhD, GG                       

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Also see www.Edward Blomgren.com | A Creativity Coach for You | Who Is Dolores?

 

 

Nicotine News

Helpful Aids For You

New Client Paperwork

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):

 

Informed consent

Coaching Agreement

Smoking History

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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