Client Intake Form

The following form is designed to help us work together more easily. To help save time before your appointment, simply print out the form, fill it out, read our policies(page 2), and bring the form with you!

PLEASE NOTE: IF YOU ARE UNDER 18, YOUR INTAKE FORM MUST BE SIGNED BY A PARENT OR GUARDIAN BEFORE YOUR SESSION.

Client Intake Form

Client Intake Form

Note: To download Adobe Acrobat Reader for free, click here.