Client Intake Form/Consent & Release of Liability

Client Intake Form

Consent and Release of Liability

For Life and Health Coaching with Nancy

Please carefully read the information below.

The form can either be completed online or printed. It must be on file before your first session.

To complete online, please click the button below. After previewing the answers to your completed form please click the SUBMIT button at the bottom.

If you'd prefer to complete the information on a hard copy, print and fill out the form by clicking the

Download Printable Copy button below making sure to sign and date the Consent and Release of Liability.

Then either scan and email to nancy@nancyraecoaching.com,
or

mail to:

Nancy Rae Coaching

P.O. Box 991

Cambria, CA 93428