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Innergy Med Group
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Service Your Seeking
*
2-hour Virtual Session
Self Health Advocate (12 Month commitment)
Do you have a HSA/Health Spending Card?
*
Yes
No
If seeking 1:1 holistic nutrtion education, are you prepared to enroll in the 12 month client membership?
*
Yes
No
I understand that the deposit is non-refundable (unless Carmen is unable to take you on as a client) and will be applied toward my remaining balance for my chosen service.
*
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No
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