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Client Forms


*The following form is required for all new clients. 


Please fill out the New Client Information form at least 48 hours prior to your first session to give Jenifer time to review it.  If you have labwork to send in as well, please let us know.  This is also the form parents should fill out for their children.


New Client Intake Information Form 2011-2012




The following forms should be completed only if requested by Jenifer directly.


Homeopathic Intake Form


Daily Food Diary Sheet For Children


Daily Food Diary Sheet for Adults


Daily Sleep Diary with Jenifer Shapiro





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Healing/ Self- Empowerment Blog:


Information on lyme's, vaccines, healthy cooking, thyroid, hormones, emf, NLP, empowered language  and more.  click here


Solace in Spirit Blog:


Affirmations for personal and spiritual living in joy.  click here.






Inner Manifesting

Holistic Options Coaching

Trauma Release Method

Spinal Release Method

SCION Method

Curing Lyme Naturally






Copyright 2000 |  Jenifer Shapiro and The Empowerment Centre, LLC

All Rights Reserved.  No reproduction of ANY type without written authorization.