Client Application Form
Welcome to Turtle Mountain Wellness!

In order to move forward with your application to become a client, we need the following information. Once your application form has been submitted and moved past the initial screening, you will be contacted to set up a phone or Zoom session to obtain more details to complete your application process.

Thank you so much for your interest in Turtle Mountain Wellness!
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Email *
Name *
Phone Number
What do you feel is the problem? *
What would you like instead? *
Which of these areas do you feel best fits your current needs? *
Required
I understand that Dr. Wellman and Turtle Mountain Wellness use techniques to support my goals, wellness, and personal development. None of these techniques can cure physical ailments or are intended to treat severe clinical issues. Dr. Wellman is not a medical doctor and can not diagnose, prescribe, or give medical advice. Dr. Wellman and Turtle Mountain Wellness reserve the right to refuse treatment if it is found that the needs outweigh the ecology of our practice.  *
Required
All work that Dr. Wellman and Turtle Mountain Wellness does is guaranteed. That means that you will receive the support and follow-up you need to ensure that you get the results you wanted. We guarantee our work because our experience has shown us that our clients always get results. The guarantee works like this:

- You MUST finish the program. That means, attending every session. You must go through the entire process of therapy all the way to the end.

- You must do the tasking after every session, and you need to do it fully and completely.

-Having done this and allowed some time (say up to 2 weeks) for the process to integrate then we agree to work with you until your problem is gone at no charge beyond the initial session.
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