Angel Introduction Client Intake Form

Thank you for choosing to have an Qigong Healing with Colleáyn Klaibourne.
Each family member needs a separate intake form.

Information to send to Colleáyn at least 48 hours before your session: 

1. This Client Intake Form.  *All fields are required.
2. Photograph(s): Email or send Colleayn a clear, recent photograph(s) (within a year or so) with at least one with your eyes towards the camera.  (That is how I tune into you.)
3. Payment (Pay via website, send check in mail before session date, or Colleáyn will email you a PayPal invoice.)

I look forward to working with you.

Client Intake Form