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K. Sweet, MA

Cultivating conscious co-creative culture

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Clinic for Coaching and Counseling Services

APPOINTMENT ONLY

FORMS
- CONSENT TO SERVICES
- NEW CLIENT INTAKE
GUIDELINES FOR TRANSFORMATION

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Huem(x)n Academy

Creativity

Consent to coaching & Counseling

To receive coaching and counseling services from Kelsey Sweet, MA as represented by FreekParlor at parlorMINT, please complete this form. You are expressing consent to receive integral and holistic mental health and wellness services; and thereby take accountability for your own personal transformation with the help and guidance from this network of professionals.

First Name

Email Address

Last Name

Date of Birth

Are you currently under the guidance or supervision of other health professionals? ie: psychiatrist, nutritionist, or metaphysician?

Yes

Have you lost your consciousness in the last past 12 months or experienced a radical shift in consciousness due to something like trauma or mind-altering substances?

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

New Client Intake

Please fill out the following form to help us understand your current state of consciousness:

First Name

Email Address

Last Name

Date of Birth

Do you have any strong preferences or belief systems that might prevent you from being open to integral work centered on personal development?

Yes

Do you know your results from personality asessments, such as the Enneagram, Myers-Briggs, natal charts, numerology, Human Design or other?

Yes

If you answered yes to any question, please elaborate. Share any other info you think would be helpful for us to know at the beginning of our sessions together:

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Guidelines for Transformation

The whole system must be in alignment.

Communicate clear objectives.

Accelerate with a strong support network.

Collect data and keep an objective perspective on reality.

Level of engagement depends on self discipline and intrinsic value/meaning.

Let go of expectations and embrace the fact that change is inevitable.

Appreciate your success and the success of others.

Clinic for Coaching and Counseling Services

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APPOINTMENT ONLY

​

​

FORMS

CONSENT TO SERVICES​

NEW CLIENT INTAKE

GUIDELINES FOR TRANSFORMATION

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