PEACE OF MIND & CALM HEART
  • Peace Project
    • Travel
    • Daily Peace Challenge
    • Tiferet Journal Poetry Essays Workshops and more
    • Trees, Healing, and You
  • Self-Care
    • Free Book Thursdays
    • Ehlers Danlos Hypermobility
  • Mistaken For A Man
  • Jewish Poetry
    • Heschel and King Marching to Montgomery A Jewish Guide to Judeo-Tamarian Imagery
    • Music Carrier of Intention in 49 Prayers
    • Jewish Music
    • Torah Parsha >
      • Achrei Mot-Kedoshim (Leviticus 16-18): Journal Your Journey Through a Year of Torah
      • Metzora: Leviticus 14:1–15:33 Journal Your Journey Through a Year of Torah
      • Pekudei: Exodus 38:21-40:38 Journal Your Journey Through a Year of Torah
    • Jewish Books
  • Brain Health
    • Kimberly Burnham Bio >
      • Consulting Services
    • Brain Health >
      • Brain Health News
      • Memory Exercises
      • Parkinson's Disease Exercises
      • Parkinson's Walking Online Class
      • Ataxia / Balance Exercises
      • Memory & Dementia Exercises
      • Pain & Consciousness
      • Spokane FAVS
      • Fibromyalgia Solutions
      • Neurotheology
    • Consulting Services
    • Client Intake Form
    • Free Walk Better Video Class
    • Blog
    • Amazon Offers
    • Vision >
      • Color Poetry for National Poetry Month Challenge
      • Vision Exercises for Basketball Players
      • Macular Degeneration Exercises
      • Keratoconus Exercises
      • Color Vision Meditations
    • Health Coaching >
      • Immune >
        • Multiple Sclerosis
      • Circulation Issues >
        • Heart Attack Recovery
        • Stroke Recovery
  • Writers
    • Poet's Corner
    • Authors
    • LGBTQ Memoir Writers
    • Publish Your Memoir This Year
    • Children's Weekly Writing Class
    • Consultation Services
    • Color Vision & Words Blog
    • Peace Words Blog
    • SpokaneFavs Blog
    • Raising Consciousness Now Blog
    • Community of Humanity Blog
    • Children Write >
      • Kid's Year Long Writing Class
    • Published! >
      • Medium Blog
      • Life Consider It a Joy by Diane D. Gunning
      • The Dragon Garden
      • Beyond The Now Essays On the Heart of Enlightenment by Jason Shulman
      • Take Your Cookies When They're Passed by Jean Galt Coblents
      • Finding Santa by Paul Burnham
      • Division of Labor by Bruce A. Labenz
      • About the Dybbuks: Jewish Historical Fiction from Pittsburgh's Hill District by Sue Lindenberg McClelland
      • Keys of My Life: A Memoir by Carla Olman Peperzak
      • My Greece: Mirrors & Metamorphoses by Ambika Talwar
      • The Healing Heart by Barbara Meyers
      • Love Among the Gods: Myths of Relationship by Shirley Kiefer
      • The Year of the Poet Monthly Book
      • United World Movement For Children (UWMC)
  • Garden
  • Poetry

Work with Kimberly Burnham 860-221-8510 PST   Intake Form

9/24/2015

0 Comments

 

Initial Intake Form to Work with 
Kimberly Burnham

intake_form_work_with_kimberly_burnham_phd_the_nerve_whisperer.pdf
File Size: 104 kb
File Type: pdf
Download File

Picture
Picture
0 Comments



Leave a Reply.

    Self-Care

    Free Resources, Reports, Exercises, Radio Programs, and Videos from Kimberly Burnham, PhD, The Nerve Whisperer

    Archives

    September 2015

    Categories

    All
    Brain Health
    Digestive Function
    Exercises
    Eyesight Recovery
    Free Resources
    Gluten-Free Help
    Huntington's Disease
    Initial Intake Form
    Insomnia
    Multiple Sclerosis
    Parkinson's Disease
    Radio Shows
    Reports
    Sleep Disorders
    Spinal Cord Issues
    The Burnham Review
    Videos
    Vision Issues

    RSS Feed

Proudly powered by Weebly
  • Peace Project
    • Travel
    • Daily Peace Challenge
    • Tiferet Journal Poetry Essays Workshops and more
    • Trees, Healing, and You
  • Self-Care
    • Free Book Thursdays
    • Ehlers Danlos Hypermobility
  • Mistaken For A Man
  • Jewish Poetry
    • Heschel and King Marching to Montgomery A Jewish Guide to Judeo-Tamarian Imagery
    • Music Carrier of Intention in 49 Prayers
    • Jewish Music
    • Torah Parsha >
      • Achrei Mot-Kedoshim (Leviticus 16-18): Journal Your Journey Through a Year of Torah
      • Metzora: Leviticus 14:1–15:33 Journal Your Journey Through a Year of Torah
      • Pekudei: Exodus 38:21-40:38 Journal Your Journey Through a Year of Torah
    • Jewish Books
  • Brain Health
    • Kimberly Burnham Bio >
      • Consulting Services
    • Brain Health >
      • Brain Health News
      • Memory Exercises
      • Parkinson's Disease Exercises
      • Parkinson's Walking Online Class
      • Ataxia / Balance Exercises
      • Memory & Dementia Exercises
      • Pain & Consciousness
      • Spokane FAVS
      • Fibromyalgia Solutions
      • Neurotheology
    • Consulting Services
    • Client Intake Form
    • Free Walk Better Video Class
    • Blog
    • Amazon Offers
    • Vision >
      • Color Poetry for National Poetry Month Challenge
      • Vision Exercises for Basketball Players
      • Macular Degeneration Exercises
      • Keratoconus Exercises
      • Color Vision Meditations
    • Health Coaching >
      • Immune >
        • Multiple Sclerosis
      • Circulation Issues >
        • Heart Attack Recovery
        • Stroke Recovery
  • Writers
    • Poet's Corner
    • Authors
    • LGBTQ Memoir Writers
    • Publish Your Memoir This Year
    • Children's Weekly Writing Class
    • Consultation Services
    • Color Vision & Words Blog
    • Peace Words Blog
    • SpokaneFavs Blog
    • Raising Consciousness Now Blog
    • Community of Humanity Blog
    • Children Write >
      • Kid's Year Long Writing Class
    • Published! >
      • Medium Blog
      • Life Consider It a Joy by Diane D. Gunning
      • The Dragon Garden
      • Beyond The Now Essays On the Heart of Enlightenment by Jason Shulman
      • Take Your Cookies When They're Passed by Jean Galt Coblents
      • Finding Santa by Paul Burnham
      • Division of Labor by Bruce A. Labenz
      • About the Dybbuks: Jewish Historical Fiction from Pittsburgh's Hill District by Sue Lindenberg McClelland
      • Keys of My Life: A Memoir by Carla Olman Peperzak
      • My Greece: Mirrors & Metamorphoses by Ambika Talwar
      • The Healing Heart by Barbara Meyers
      • Love Among the Gods: Myths of Relationship by Shirley Kiefer
      • The Year of the Poet Monthly Book
      • United World Movement For Children (UWMC)
  • Garden
  • Poetry