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Client Intake form

We're so happy you're here. Please provide us with some info to better serve you and someone will get back to you in 24 – 48hrs. 

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02:30 PM

Thanks for your booking request! Someone will get back to you in 24 – 48hrs. 

© 2024 BreaRose Healing 

DISCLAIMER: I, BreaRose Smith, am not a doctor, psychologist, or psychotherapist. I do not diagnose medical or mental health conditions. If my clients are under the age of 18, I must receive written parental consent of their treatment prior to their first session. By receiving a healing/reading, the client claims responsibility for how the information is received at said healing session. The energy healing sessions are entirely confidential.

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