Initial Paperwork

Counseling-

Initial paperwork is on the client portal. You will need to complete an intake form and sign various consents.  After your appointment is made, you will receive a link to your portal through email.

If you do not have access to email, please let us know and you can complete the paperwork prior to your session in office.  Please allow yourself to come in 30 minutes early if you need to do this.

Stem-Cell Therapy –

An initial consultation is required.  Please complete the below form.  Once received, a physician at Whole Life Wellness will review the paperwork.

Form Download Link

or go to healing-revolution.com and let them know you want to be treated here at Coastal Synergy.

You may email it to us at: info@coastalsynergyassociates.com or email to the address on the form.

 

Request An Appointment

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