Confidential Intake Forms​

Please print and complete the above Confidential Client Intake form and Core Values and bring it with you to your first session.  If more than one person will be in the session (tobacco cessation, couples coaching, etc.) please complete one for each person.  Thank you. 

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CONSENT FOR THERAPIES OF A MINOR AGE 18 AND UNDER

Consent of a Minor

Please print and complete the above Consent for Integrative Mind-Body Therapy of a Minor and bring it with you to the first session.  If more than one minor, please complete one for each person along with the Confidential Client Intake.