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ADHD Coaching Disclaimer & Waiver for Adults
This form is for adults (18-years and older) who will be receiving ADHD coaching from Dr. Matt Jarman at Productive for Good. Please
email Matt
if you have questions at any point.
Your Full Name:
*
Date of Birth:
*
Email Address:
*
Phone Number:
*
Mailing Address:
*
This is necessary for mailing you materials
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