Download and print the forms below. Fill out and fax or email to me before the first appointment.
Please be aware that I never sell or give away your information. It will be kept in confidence. I do not like spam therefore I will treat you the way I want to be treated. I will not spam you.
Beverly Fells Jones
The Silver Fox of Consciousness
For information about our programs, please
contact us at email@example.com
or Call 484.809.9017
FAX – 315.571.9475