Call: 678-404-2331 | Email: info@bhwell.com

Coach and Client Confirmation Page

Welcome to the Coach and Client Confirmation page...

Now that you have read the Coach and Client Agreement, please answer and acknowledge the following questions.

This allows your health coach to provide you with a comprehensive and unique program tailored to assist you in meeting your goals.

Do you have any food allergies?

If yes, please list them below, if no, please indicate "none"

Is there any other information that you would like to share with your health coach?

Please Type your full name.
This will serve as your acceptance of all policies and terms throughout our website and on the L.A.N.E. client services page. This is your electronic signature:
Name Email