Date & Time


Client Intake Form

Are you willing to:

Be open to the Holistic Healing process to heal trauma, lower stress, or resolve fear

Connect with your intuition to heal your body with no expectations

Speak with honesty, clarity, & power to restore your health & life

Work through your emotional pain to create a life worth living

Make self-care & self-love your #1 priority

As your guide, I help you to co-create a customized solution to reclaim your health and life through self-healing when you are ready. Self-healing is not a destination, but a process.

Fuz Manning – Holistic Guide/Mentor 702.747.1243 Copyright 2021 – Restorative Health & Healing. All Rights Reserved

Disclaimer Form

Please initial on the 2 lines, if you understand and are willing to proceed with the Holistic Healing Arts process that is being offered by Fuz Manning.

____ The results of your self-healing journey are unique and should not be compared to the results of others who are on their own health journey. Your results will vary based on your background, your level of commitment, and your willingness to be open to learn from your mistakes. You are creating your own self-healing process for your life and health. Restorative Health & Healing and Fuz cannot be held liable for your decisions, actions or results, at any time, under any circumstance.

My clients don’t want me to do their healing for them. With my guidance, they learn what is necessary to heal their own health and life. Making critical decisions based on any information presented during the Restorative Health & Healing process and tools will lead you to experience significant shifts and changes in your life and relationships, just like anything else new or different in your life.

____ “Health is the state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.” This is endorsed by WHO and the CDC. This is the traditional medical approach that only treats the symptoms of the ailment.

Restorative Health & Healing is not meant to replace your current healthcare professional and what you are being treated for now. Fuz is not offering you a quick fix or take a pill to numb or suppress your symptoms. Fuz is helping you to create a customized plan to resolve your issues at root-cause. He is empowering you to take charge of your life.

Restorative Health & Healing believes that it is important to adopt the holistic healing arts process where you are guided to find and resolve the underlying causes of the 3 amigos - trauma, stress, or fear and to reclaim your health and your life through self-healing. These 3 amigos cause 95% of all doctor’s visits, emergency care visits, and hospitalization. No one has ever healed anybody of anything. All healing is self-healing and is a process, not a destination.

Fuz Manning – Holistic Guide/Mentor 702.747.1243 Copyright 2021 – Restorative Health & Healing. All Rights Reserved