Please click below to download and complete the “Client Intake Form”. This form is very important to helping us get to the root of your concerns. The information provided is held in the strictest confidence.
The form is a pdf that can be either completed on your computer and emailed to me, or it can be printed and filled in by hand. Once complete, please either scan it, and email the scan to me, or take a clear picture with your cell phone, and email that image to me.
It is important that your complete and return this form to me no later that 24 hours prior to your first session.
And if you have any questions, or if you would like to send me your scanned intake form, please to email me.