Client Intake Form

Please fill out the following in form prior to our session.
How would you describe your stress level?
Are you under a physician's care?

This work is a supplement, not a substitute for medical treatment. If you have Bipolar Disorder, Schizophrenia, clinical depression or suicidal thoughts,
please seek help from an experienced mental health practitioner who can monitor your treatment within a mental health plan. Thank you.

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