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Below you will find an online form and a disclaimer document in .pdf for you to download. Please complete the form and hit "submit" at your earliest convenience. The information you provide is critical in our moving forward with your process and I hope you review them with the utmost sincerity. All information you provide will be kept in the strictest confidence by me. No other person(s) will have access to your information at any time.

New-Client Intake Form

Legal Disclaimer - Please read and sign below

The information contained within Camber Hill Lifestyle Coach ’s web site is not a substitute for professional advice such as a Medical Doctor, Psychiatrist, or counselor. The information provided by Camber Hill Lifestyle Coaching does not constitute legal or professional advice neither is it intended to be.


Any decisions you make, and the consequences thereof, are your own. Under no circumstances can you hold Camber Hill Lifestyle Coaching liable for any actions that you take. You agree not to hold Camber Hill Lifestyle Coaching, or any employees of Camber Hill Lifestyle Coaching, liable for any loss or cost incurred by you, or any person related or associated with you, as a result of materials or techniques, or coaching, offered by Camber Hill Lifestyle Coaching.


The information shown on the website or expressed during sessions is intended to be general information with respect to common Life issues. Information is offered in good faith - you do not have to use this information.


You shall indemnify Camber Hill Lifestyle Coaching and their associates, in the event of any such claim, including but not limited to any claims made against the CEO of Camber Hill Lifestyle Coaching, by any person related or associated with you. Nothing in the content materials shall be considered legal, financial, or actuarial advice.


Lifestyle Coaching Sessions are for adults 18 or older that reside in the United States only. Rates are guaranteed not to change with exception to “specials”. reserves the right to refuse service for any reason. Results are not guaranteed. holds no responsibility for the actions, choices, or decisions taken or made by the client. Diagnosing psychological or medical conditions is for trained medical professionals (Physicians and Therapists), not for a Life Coach.


Camber Hill does not assume the responsibilities of diagnosing such conditions, referring or advising clients thereof.


All information shared during sessions, for billing or for scheduling is held confidential. Your personally identifiable information is never sold, traded, or given away.

PLEASE NOTE: Camber Hill Coaching DOES NOT offer refunds. If you decide not to use your coaching appointment or package, you can assign it to someone else by sending an email to Otherwise, all purchases

are final.


By typing your name at the end of this document and clicking "Submit", you agree and understand that this is as binding as your ink signature and that you agree to the definitions laid out here and hold Camber Hill,, and their associates harmless in any claim moving forward. 

Thanks for submitting!

You may download or print a blank copy of this form and document here.
Or you may download this document as a fillable form here.

Review our Coaching Agreement here to understand the terms of your coaching relationship with Camber Hill.

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