NEW CLIENT FORMS
Please print and complete all forms before your first appointment.
Forms are also available at the office for pickup.
Agreement for Wellness Services
Sherry Lewis D.PSc is a pastoral health and wellness provider, licensed in such capacity by the Pastoral Medical Association (PMA) and are required to provide certain disclosures to you and before providing services, to have on-file an agreement for services that provides clear and specific terms and conditions of the relationship. The Agreement below meets these requirements.
In this Agreement, Sherry Lewis D.PSc is referred to as “Practitioner”, you are referred to as “Client”, the term “Party” refers to an indicated party to the Agreement, and the term “Parties” refers to Practitioner and you jointly.
Please read this Agreement carefully and indicate your acceptance of its terms by completing the form.