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Patient Forms

Click the hyperlink above to download the intake form. The intake form is fillable on a computer/device with adobe. * The form may only be fillable on a desktop.           

When complete, email to

You can either complete the intake form during the first treatment, or download and enter your information directly into the form and email back to me in advance of your first treatment, or print the form and fill it out by hand and bring it to the appointment or scan it to me.

I have printed blank copy’s in the office and there is plenty of time to fill out the intake form during the first appointment, but if you complete it in advance and send it to me I can get a head start in learning about you.