Please submit your completed intake form the day prior to your appointment (click on the green button below). If you plan on learning Restorative Exercise™ please fill out the Restorative Exercise Intake as well. By making an appointment, you agree to the Cancellation/Payment Responsibility Policy. I may send email notes to clients after their appointment, please read and sign the Email_Consent_Form if you wish to receive notes via email.
Email the following completed forms to firstname.lastname@example.org the day prior to your SKYPE appointment:
- Restorative Exercise Intake
- Cancellation/Payment Policy
- Click on the green button below to fill out the general intake form in addition to the three above forms.
Before sending and receiving health information via email please read and sign the form below. Email_Consent_Form. I often send follow up notes via email for your convenience, so I require everyone to read and fill out this form.
Download and read the HIPAA form to learn your rights regarding your health information. HIPAA_Form