CLIENT FORMS
When your appointment for the healing clinic is confirmed, please download the intake form and consent form by clicking on the links below. Once your forms are completed, you may email them to us.
INTAKE FORM
Click on the button below to download intake form
CONSENT FORM
Click on the button below to download the consent form
Donations
For our clients, you may bring cash or click the donation button below and follow instructions to donate using credit or debit cards.
Our donation based sliding scale fee is $60-120+, but feel free to contribute an energetic exchange according to your means.
All donations received will be shared with the healers in attendance and will help give back to our community to other clients in need.
$60 - Covers the cost of your healing session
$80 - Covers the cost of your healing session and compensation for your healers
$120 + Covers the cost of your healing sessions, compensation for healers, and helps another client that is need of healing
Thank you for participating in and supporting the Winston-Salem NIASZIIH Healing Clinic!
