Hi! First of all, thank you for being in touch, and I am delighted that we will be working together.

Before we start, here are a few things I would need from you.

1. Please review the Working Agreement before proceeding. Unless you prefer a physical contract, the submission of the Welcome Form will serve as an electronic signature for your consent.   

2. Please fill in the Welcome Form. The information you provide is confidential. If you have concerns about the relevance of any information and wish to leave it out, please feel free to do so. You can also refer to the Privacy Policy to see how your details will be handled. 

3. Please settle the payment for your session in advance of the scheduled time. The payment policies and account details are included in the Booking Confirmation email.

Any questions, please do not hesitate to ask. I could be reached at imi@eggshelltherapy.com

I very much look forward to starting this journey with you! 

Imi

 

YOUR WELCOME FORM

 

Name *
Name
Birthdate
Birthdate
Phone
Phone
Address
Address
If you do not want to put your family or friends as an emergency contact, you can use the details of your GP/ medical provider.
I agree to the Working Agreement, which could be found at: eggshelltherapy.com/agreement. *
I understand that you will hold and process the information that I have provided in accordance with your privacy policy, which could be found at: eggshelltherapy.com/privacy. *
I understand that you will be communicating with me through the contact details I have provided. *