Client Forms & Policies

If you would like to become a client, please call 1.866.821.9386 or email now to set up your complimentary consultation.

Find out just how quickly you can get started changing you life.

Once you are set up, please return required forms as pdfs, or scans via email: here

Intake Form
Service Agreement
Client Policies


Client Policies


__Missed sessions will be made up if rescheduled 48 hours prior to your regularly scheduled time.

__Sessions cancelled for non-emergency reasons with less than 48 hours-notice will not be made up.

__Your scheduled time is your time and cannot, and will not, be reassigned.

__Service package fees are paid in advance. Session by session fees are paid prior to each appointment.

__There is limited flexibility for session-by-session fees, but between-session support and any other services are not available with this option.

__Payment must be received in advance of service.

__You may terminate a package agreement at any time, provided all appropriate fees for sessions used have been paid.

__Package fees will not be refunded for unused sessions unless by mutual agreement. Any agreed upon refunds of unused fees will be processed as quickly as possible.

__I take your privacy very seriously and will protect your personal information to the best of my ability. I expect that you will protect yourself as well.

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