Please select the appropriate tab below.

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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.

Intake Form

Email the following completed forms to info@nurturance.net the day prior to your SKYPE appointment:

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)

 

 

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