Loading...

 Physicians and Health Care Providers

TO:                      Physicians and Health Care Providers

 

Your client or patient is currently engaging in holistic and alternative health modalities at Inception, the First Mental Health Gym, located 31410 Northwestern Highway, Farmington Hills, Michigan. 

 

At Inception, we do not diagnose, treat, cure, or prevent any physical diseases or mental health disorders. We provide modalities that offer physical and mental relief from traumatic and stressful situations. These non-invasive services facilitate greater balance and harmony in the brain and body. 
 

Rest assured that Inception will not interfere with the care you are providing to your patient. Generally, Inception provides modalities that help the brain and body to better regulate itself and enhance feelings of relaxation. 
 
 

With regard to clients who are prescribed medications, we ask clients to continue to take medications in accordance with their physician’s instructions. We sometimes find that clients are interested as to whether Inception may reduce their need for medications, either over-the-counter and/or prescription medicines. We never advise our clients to reduce or discontinue medications without consulting their physician.

 

Nonetheless, we find that clients undergoing Inception services often experience shifts in their mood, concentration, sleep, pain, and/or energy levels. If they are taking a medication which is also impacting one or more of those areas, we ask them to consult with their physician to evaluate whether a dosage adjustment may be appropriate.

 

As new discoveries in neuroscience, epigenetics, and neuroplasticity emerge, many physicians and other health care professionals are finding that Inception can have a highly faciliatory role in the path to greater well-being.  For more information, visit our website at www.inceptionep.com.

  

Between 80 and 90 percent of our clients report a significant improvement in one or more of the concerns that led them to seek out our facility. 

 

Inception has been particularly effective for those who suffer with anxiety, addictions, sleep disorders, headaches, joint pain, behavioral issues, “fuzzy thinking,” memory loss, irritability, post-traumatic stress disorder, depression, anxiety, compromised immune system functioning, and brain injuries. 

 

We hope you will become familiar with Inception and consider it as another way to help promote achievement of a more healthful state for your patients.  

 

We are also sensitive to the stresses faced by health care professionals. If you are interested in experiencing Inception services yourself, you may wish to take advantage of a special professional courtesy rate for licensed health care providers. You can find information about our center at www.inceptionep.com. 

 

Please feel free to contact me at iinnersupport@inceptionep.com with your questions or concerns about how Inception may complement your client or patient’s care plan or if you would like a tour of our facility. I invite you to visit our website at www.inceptionep.com, where you will find more information about our work and our results.

First Clients Name

First Name*

Middle Name

Last Name*

Phone*
First Clients Date of Birth*
First Clients Signature*
Second Clients Name

First Name*

Middle Name

Last Name*
Second Clients Date of Birth*
Third Clients Name

First Name*

Middle Name

Last Name*
Third Clients Date of Birth*
Fourth Clients Name

First Name*

Middle Name

Last Name*
Fourth Clients Date of Birth*
Fifth Clients Name

First Name*

Middle Name

Last Name*
Fifth Clients Date of Birth*
Sixth Clients Name

First Name*

Middle Name

Last Name*
Sixth Clients Date of Birth*
Seventh Clients Name

First Name*

Middle Name

Last Name*
Seventh Clients Date of Birth*
Eighth Clients Name

First Name*

Middle Name

Last Name*
Eighth Clients Date of Birth*
Ninth Clients Name

First Name*

Middle Name

Last Name*
Ninth Clients Date of Birth*
Tenth Clients Name

First Name*

Middle Name

Last Name*
Tenth Clients Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!