Health Coaching Introduction Session

This is a confidential form. All information provided will be held to HIPAA regulations in strictest confidence.

Thank you for your interest in using Coach Rebecca / Body Be Well Solutions to improve your well-being through health coaching.

You may currently be under the care of a physician or a primary care treatment of a specific medical condition. It is important to understand the scope and the extent of services that Coach Rebecca will provide.

This first form is an opportunity for Coach Rebecca to gather helpful information about your reason for seeking health coaching and provide an understanding of your wellness goals that you'd like to achieve.

We work to empower you to take control of your health and wellness by making Healthy a Habit, One Choice at a Time. We do this by partnering with you to increase self-awareness of choices while guiding you through the process of change.