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Important documents

Please read all the information below so you are aware of what is needed for your first appointment with Cheri Shandra, BCHN, IPHM, LMP

Professional Wellness Alliance (PWA) provides education and tools to help ensure the security and growth of holistic practitioners and their clients. Please click the start button to fill out the form. By signing this form, you are acknowledging the practitioner's efforts to be licensed and your rights as a client.

Client intake form:
Please complete the form before our first appointment. All forms must be completed prior to your free consultation as well.

Client agreement form: Please complete the form before our first appointment. All forms must be completed prior to your free consultation as well.

Health declaration

Please fill out the following form.

Date of birth
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
Leaf Pattern Design

Thank you!

Thank you for taking the time to fill out the forms above. This will help expedite our appointments, allowing us to focus on the specific details that are important to you. Prior to our appointment, I will review the information you provided, which will give me a better understanding of your needs and goals for overall wellness. I may reach out via email or phone for further information as well.

 It's an honor to serve you, and together we will work towards achieving the transformative change you desire.

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Cheri Shandra, BCHN, IPHM, LMP

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