forms

We are not victims of our past, we are students.– Unknown

New Client Forms

Please print the forms and complete before your first appointment. Thank you.

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This form collects basic identifying information
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This form collects basic identifying info for a person under 18 years of age
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This form is to be reviewed and signed. It is an agreement from you to begin a therapeutic relationship
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This form is to be reviewed and signed. It is required for confidentiality regulations in the health fields
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This form allows you to assess the therapist and the therapeutic experience
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This form is necessary if there is another Health Care Professional with whom you would like me to speak about your case with.
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This form is to be reviewed and signed. It is an agreement from you to begin therapeutic treatment using energy and processing modalities.
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Assessment Forms

These assessments are optional.  Please print out what pertains to you.

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