Your Information and Areas of Focus:

Thank you for reading the following information and sending me this information form. In order to fully take advantage of our time together, I ask that you send me some basic personal information and brief descriptions of your areas of focus. These areas can be emotional, physical, relationships issues or anything that holds your conscious attention. Also, please know that details are not important, only the general description.

Privacy Policy and Informed Consent:

Before filling out this form, please read the privacy policy and informed consent information and check the box at the bottom of the intake form that you have read this information.

Scheduling:

If you have not yet scheduled a session, click here to find a good time for our session. If I am aware of your remote session, fill in the form with any updates to your areas of focus.

Information Form