Appointments

 

You must fill-out the client intake form and return it before booking your first appointment.

Download the Client Intake Form Here

 

 

 

...OR...
 
If you have already submitted the Client Intake Form
and you just want to book an appointment

 

 

 

CLIENT INTAKE FORM

 

Full Name

Home Address

City

State

ZIP/Postal Code

Home Tel. No.

Cellphone No.

Current Age

Date of Birth (DD/MM/YYYY)

 

 

Gender:

 

 

 

Status:

 

 

Occupation

Business Name

Work Phone

Email Address

 

 

IN CASE OF EMERGENCY

 

Emergency Contact Name

Emergency Contact Address

Emergency Contact Number

Emergency Contact Relationship

 

 

ABOUT YOU

 

Purpose of Appointment

Other Treatment/Therapy

 

Has it helped?

 

Have you been treated for any health condition in the past 12 months? Please give details...

Other Medical Information

Blood Type

Diet Type

Detox Program

 

Have you ever had Botox injections?

Please Give Details

 

 

COVID-19 Diagnosis:

 

CoVID-19 Test Date:

CoVID-19 Symptoms:

 

 

CranioSacral Therapy

Authorization is required for CranioSacral Therapy and physical contact to facilitate the therapy

 

 

 

REFERRALS

Referral

 

 

SESSIONS

Bring an open mind and heart.
This is the time and place to allow for the possibility of the extraordinary and the potential for the impossible!
Crowd out the negative with the Positive!
Happiness is a Choice!

For Office Sessions

Please wear comfortable loose clothing
or bring something to change into.

For Skype Sessions

Please wear comfortable loose clothing
or bring something to change into.

PAYMENT

Payment is due at the time of the session by cash, check or may be prepaid using paypal to glenyswellness@gmail.com

CANCELLATIONS

Cancellations within 24 hours of the scheduled appointment will be billed at the full hourly rate unless other arrangements have been made.

 

 

Confidentiality Notice

This communication constitutes an electronic communication and its disclosure is strictly limited to the recipient intended by the sender of this message. This transmission contains confidential coach-client privileged information.

 

 

 

 

APPOINTMENT BOOKING FORM

 

Full Name

Email Address

Cellphone No.

Skype ID

APPOINTMENT DETAILS

 

 

Appointment for:

 

Appointment Description

Appointment Time

18:00
06:
15 30 45
08:
15 30 45
09:
15 30 45
10:
15 30 45
11:
15 30 45
12:
15 30 45
13:
15 30 45
14:
15 30 45
15:
15 30 45
16:
15 30 45
17:
15 30 45
18:
15 30 45
19:
15 30 45
20:
15 30 45
21:
15 30 45
22:
15 30 45
23:
15 30 45

 

 

SESSIONS

Bring an open mind and heart.
This is the time and place to allow for the possibility of the extraordinary and the potential for the impossible!
Crowd out the negative with the Positive!
Happiness is a Choice!

For Office Sessions

Please wear comfortable loose clothing
or bring something to change into.

For Skype Sessions

Please wear comfortable loose clothing
or bring something to change into.

PAYMENT

Payment is due at the time of the session by cash, check or may be prepaid using paypal to glenyswellness@gmail.com

CANCELLATIONS

Cancellations within 24 hours of the scheduled appointment will be billed at the full hourly rate unless other arrangements have been made.

 

 

Confidentiality Notice

This communication constitutes an electronic communication and its disclosure is strictly limited to the recipient intended by the sender of this message. This transmission contains confidential coach-client privileged information.

 

 

 

 

Wellness Coach & Confidant
Just Glenys Private Sessions
Your Personal & Professional Witness to
Synchronicity, Miracles, Wellness and Loving.

Over the years in my Wellness and Holistic Health Practice, either in office sessions or via Internet or phone, I have been so grateful to witness many wonderful healings with fantastic eureka moments.

Whether my clients are Broadway Stars, CEO's, Stay at home Moms, Investment Bankers, Yoga Instructors, Models or starving Artists. They all have one thing in common: They Absolutely MUST have the ENERGY, HEALTH and SPIRIT to live their Lives.

Most of you come to me because someone I have helped told you about me and you too want that spark of Energy, the Reinvention of Self or Rejuvenation!

Sometimes you need a little extra help to get you over life's rough spots or a bit of guidance to live into your dreams.

Each session is completely customized to You, drawing on many years of professional and life experiences, plus dozens of modalities and techniques, both spiritual and energetic.

Together, we set out to explore the full potential of you, whether your challenge is physical, pre or post surgical, headaches, allergies, stress, etc. or it is just general dissatisfaction or You Just want MORE. The point is you don't have to suffer. Let's see if together we can improve your situation and establish a life you are excited to Live into!

As your, "Unrelenting Advocate," I help You Access the very Best of you and unlock the sometimes elusive trinity of Health, Energy and Happiness.

Whatever you think is impossible becomes "The Challenge", this is the path we take together and I am there with you every step of the way and when you get where you are going we celebrate YOU!

Happiness really is a Choice! Let's Choose Wisely!

"Happiness
is a choice."

Glenys

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The Butterfly Symbol is a trademark of JustGlenys.

This website is an educational tool. Content provided in this website is not medical advice.

The content on our website has not been evaluated by the FDA (US Food & Drug Administration).

Before you start any health program, you are advised to consult your doctor.