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Important documents

Please read all the information below so you are aware of what is needed for your first appointment with Cheri Shandra, BCHN, IPHM, LMP

Professional Wellness Alliance (PWA) provides education and tools to help ensure the security and growth of holistic practitioners and their clients. Please click the start button to fill out the form. By signing this form, you are acknowledging the practitioner's efforts to be licensed and your rights as a client.

Client intake form:
Please complete the form before our first appointment. 

Client agreement form: Please complete the form before our first appointment. 

Health declaration

Please fill out the following form.

Date of birth
Month
Day
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes

Thank you!

Thank you for taking the time to fill out the forms above. This will help expedite our appointments, allowing us to focus on the specific details that are important to you. Prior to our appointment, I will review the information you provided, which will give me a better understanding of your needs and goals for overall wellness. I may reach out via email or phone for further information as well.

 It's an honor to serve you, and together we will work towards achieving the transformative change you desire.

Cheri Shandra, BCHN, IPHM, LMP

© 2025 Cheri Shandra. All rights reserved.

No part of this website, including text, images, audio, video, or downloadable content, may be reproduced or distributed without prior written permission.

Tangled in Toxic™, The Tangled Truth™, and Tangled to Transcendent™ are trademarks of Cheri Shandra and may not be used without express authorization.

This site and its content are intended for educational and informational purposes only and do not substitute for professional medical or legal advice.

©2023 by Cheri Shandra. 

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