Client Intake Form

Long Distance Healing Session via Email
Return Client Form

Thank you for choosing to have a Long Distance Healing Session via Email with Colleáyn Klaibourne.
This Form is for Returning Client Healing Sessions with Colleayn

If you haven’t had a Healing Session with Colleayn before,
fill out this form so I can get your birth information.

* Each family member needs to fill out a separate intake form.
These sessions are done via Email.
Information to send to Colleáyn at least 3 Days before your session: 

I look forward to working with you.

Client Intake Form

Each field needs to be filled out completely in order for this form
to be successfully submitted to Colleayn.
The reason I ask for occupation is in case I’m seeing different work, hobbies, education, etc. that would be good for you to explore.
What are your goals or what do you hope to receive from your healing session? The more information you share, the deeper I can look at what is happening.
For individuals who are having healing sessions before, during and after surgery.


Thank you.