Name *
Name
Which of the following issues can the service you provide be helpful for? (Please Check all that apply): *
Are your services typically covered by MSP? *
Are your services covered by extended health plans? *
If our clients do not have coverage for your service, would you be willing to provide a discount? *
We may offer discounts on our services for clients that you refer to us.
Would you be interested in possibly being included in our social media with links to your website? (IE website, facebook etc.) *
Please note the following disclaimer is on our website and client intake forms: *The organizations and practitioners listed under the “Collaborators” section of our website are simple collaborations only and intended to provide our clients with, what we believe to be, high quality options. S.A.J.E. Wellness & Transition has no affiliation, contract or other interest in the above listed organizations or practitioners. When accepting services from these providers, any specific details of your treatment including payment details are an agreement between you and that provider. Unless provided with your express consent, we will never provide or share any of your information. Although we have done our best to select the highest quality of collaborators, S.A.J.E. Wellness & Transition does not guarantee their service and accepts no liability. Selecting any type of service provider is always your voluntary choice.
Would you be willing to possibly include us in your social media? *