
Effective Date: March 1, 2025
"Documents marked with an asterisk (*) are required."
" POA please fill out required POA form and get a notarized letter if needed."
"Please use Adobe Fill & Sign to complete the paperwork and email it back to akinagardenhealing@gmail.com with the subject line 'Completed Paperwork for Akina Garden Healing.' Let me know if you have any questions!"
"To receive services from Akina’s Garden Healing, you must complete a PWA membership form below. Once completed, I will submit your information to the database as a referral to PWA."
*Note: Include my license # on the paperwork, sign, and date. You can find my license number under the "Certifications" tab on this website for my PWA license # (You should write my PWA license # as PWA-0000000 there are 7 numbers after the dash). Without completing this paperwork and it's entirety I will not be able to digitally add you to the referral database for PWA nor see you as a client for future appointments.