First Appointment Paperwork

Beverly Fells Jones

First Appointment


Download and print the forms below. Fill out and fax or email to me before the first appointment.

Client Information Form

Client Disclosure Statement

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.

In Gratitude,

Beverly Fells Jones
The Silver Fox of Consciousness

For information about our programs, please
contact us at
or Call 484.809.9017

FAX – 315.571.9475

Visit Us

Privacy Policy