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Intake Form
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Please take a few minutes to complete this form prior to your initial appointment.
This form is required for Long Island Healing Arts & Learning Center Healing Sessions only.
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Long Island Healing Arts & Learning Center
868 W. Jericho Turnpike, Huntington, NY 11743

Our mission is to create a peaceful space for healing, spiritual connection, and personal growth.
A Teaching • Learning • Sharing Community

“We are each of us angels with only one wing, and we can fly by embracing one another.”

© Embrace Light, Ltd. | © T. Sarin & L. Maglio | www.EmbraceLight.com
All Rights Reserved. Content may not be used or reproduced without permission.

Disclaimer: All services are provided by independent practitioners who are not employees, agents, or representatives of Long Island Healing Arts & Learning Center or Embrace Light, Ltd.; we do not endorse or guarantee any services or outcomes and disclaim all liability to the fullest extent permitted by law. This website is for informational purposes only and is not a substitute

for professional medical care.

Privacy: Personal information is used solely for scheduling, communication, and payment processing and is never sold or shared. Secure third-party platforms are used to protect your information.

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