Informed Consent Form
CONFIDENTIAL CLIENT INTAKE FORM
FINANCIAL POLICY AGREEMENT
1. There is an $85 fee for each consolation with your Ayurvedic Specialist.
2. We do not bill insurance companies for services or herbal formulas.
3. CANCELLATIONS REQUIRE 24 HOURS NOTICE to avoid a full consultation fee of $85.
By applying and submitting the required fields below I am agreeing that I have read and understand the financial policies of Tiffanae Dawn Luke, True Healing and Guidance