Wellness Practitioner Authorization Form for Release of Information

This form is for the client to give the wellness practitioner written permission to use the client's personal information for wellness business purposes. In other words, if the wellness practitioner wishes to use information gathered from their client for business purposes, such as use in social media or website testimonials. This document explains to the client the types of health information the wellness practitioner gathers and gives the client options to choose how the wellness practitioner can use their personal information. This document is cross-referenced in the Wellness Practitioner Services Agreement and should be purchased together.

By purchasing this product, you agree to the terms of service.