Please select the appropriate tab below.

03FernBR

Please submit your completed intake form prior to the day of your appointment (click on the green button below). 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.

Intake Form

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

 

By making an appointment, you agree to the Cancellation/Payment Policy. (click link to review)

 

 

Coming Soon!

Stuff I Love

(affiliate links)

Pin It on Pinterest