CLIENT INFORMATION

The information requested on the Client Information Form is 

used to support and inform your session.

 

The information shared here is confidential and will not be used for

any purpose outside of Fourhands Healing. 

 

Please complete the form and click on submit

below, prior to your first session. 

 

Thank you.

 

 

 

410 South Michigan Avenue, Suite 601 Chicago Illinois 60605

312-957-0600

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© 2015 by Janna Lee Childs