Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com

Consultation Form Instructions
To make the process simple and efficient, we operate as a paperless practice. Our website, email, and virtual conferencing platform are secure and designed to safely handle scheduling, payments, and the transmission of your records and information.
Please complete the three required consultation forms and return them at least 24 hours before your scheduled appointment. Receiving your forms in advance allows me time to carefully review your information and prepare for our time together so that your consultation can be as meaningful and productive as possible.
If you have any questions while completing the forms, please feel free to reach out—I’ll be happy to assist you.
Thank you in advance for your time and effort in completing these forms. We hope you will consider our programs as a pathway to discovering your own answers, results, and renewed hope.
Your Story
The purpose of this form is for you to give a little more background information about yourself, condition, etc.
In your own words please tell me "your story". Take as much space as you need. Please include the follow:
FYI: It's most helpful if the information is given in a timeline format.
