New Client Application

Thank you for your interest in booking an appointment with Natasha Nirvana. We appreciate your patience and understanding during their current maternity leave. We understand that waiting for an appointment can be frustrating, but we are committed to providing our clients with the best possible service, and we believe that Natasha's expertise is worth the wait.

In the meantime, we encourage you to take a look at our website and get to know Natasha. There are many resources available through their blog that can support you on your healing journey. You can also take a fun quiz to discover your intuitive type!

Natasha offers a variety of services for your healing, personal, and professional development journey, and we are confident that we can provide you with the care and attention that you need. We invite you to fill out the application to the best of your ability so that we can get to know you better. This will also help us ensure that we are providing you with the best possible care when Natasha returns.

Once you have submitted the application, you will be added to our waitlist. We will keep you updated on Natasha's return date and contact you as soon as she is available. Thank you again for your interest, and we look forward to the opportunity to serve you in the near future.

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Would you like to join the Empowered Intuitive Newsletter?

The newsletter includes weekly emails for spiritual intuitives who want to explore their spiritual side while furthering their self growth. You'll receive weekly guidance to help you awaken your spiritual abilities, master your energy for healing and use your energy to make an impact.
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First & Last Name *
Preferred Pronouns *
Phone Number (must be able to receive text messages) *
Birthday *
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Time of Birth *
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Place of Birth *
How did you hear about us? *
Are you available on Fridays or Saturdays?
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What type of support are you considering receiving from Natasha? *
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Have you worked with a coach or healer before? If so, what was your experience like? *
Please use the space below to share your goals and expectations with us, so we can work together to achieve them. The more details you provide about what you want to accomplish, the better we can understand your needs and objectives. This will allow us to customize our services to meet your specific requirements and plan our strategy and actions accordingly. Don't hesitate to share as much information as possible, and we'll do everything we can to help you reach your goals. *
Please take a moment to share information about your current situation and the type of support you are seeking. This could include challenges or struggles you are currently facing, personal or professional development goals, your healing journey, or any specific questions you would like me to address during our work together.
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What has your journey of healing, personal growth, or professional development looked like up to this point? Please also include who is currently supporting you in achieving your goals for healing, personal growth, or professional development. *
What is your level of commitment to your personal, professional, or spiritual development and healing journey? *
Do you have any physical symptoms or illnesses? Please include anything from where you hold tension in your body, your goals for your physical health, and any pain or illness you are currently experiencing. *

Natasha aims to provide services that are equitable, sustainable, and accessible to all. We understand that affordability is a critical consideration for underrepresented communities, and we want to ensure that our services are available to anyone who needs them.

We recognize that financial constraints can pose a significant obstacle to accessing the care you require, and we want to collaborate with you to find a solution that meets your needs and budget.

If you have any financial constraints that we should be aware of, please inform us. We are committed to exploring options with you and finding a solution that works for both parties. Our goal is to provide you with the best possible care, regardless of your financial situation.

I understand that Reiki & Intuitive Readings are not a substitute for traditional medical or psychiatric treatment. Practitioners do not diagnose, cure or prevent any disease.  You should consult with your health care practitioner when you find any medical or psychiatric condition existing. I understand that this work is a partnership and requires my participation in my healing. Natasha does not claim to offer miracle healings, do the work for you, or predict the future. You are the healer, Natasha is the guide. *
As a licensed professional, I am dedicated to providing a completely safe and enjoyable experience for my clients. Any inappropriate comments or advances made at any point will result in immediate termination of our work together. Fees paid will not be refunded. *
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