


| New Life Coaching Client Forms: Welcome Letter Client Registration Form Dreams Worksheet |

| Other Forms Consent to Release/Obtain Information Change of Address or other information Authorization for Electronic Payments HIPPA and Privacy Policy |
| Lynne Angela Santiago, MS, LMHC Florida Licensed Mental Health Counselor & Certified Sex Therapist #MH5801 Lynne@lynnesantiagolmhc.com |

| Phone Session Forms . Registration Authorization for Electronic Payments |
| Please print the forms, fill them out and than either fax to me or bring them with you for our first session. FAX: 877-570-3632 |