New Clients

Thank you for your outreach. From this point forward, our work together has begun. In order keep an accurate record of each client, I ask that the following form be completed before our first session. Be intentional and take the time to contemplate your responses. 

Should you have any questions, don't hesitate to ask. I look forward to our continued work on the path ahead.


Please complete the form below in its entirety. 

Name *
Date of Birth *
Date of Birth