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New Client Information

If we have connected and you're ready to get started, please fill out the following form and I will email you a link to schedule our first session.

Multi-line address
Are you currently working with any other traditional or non-traditional forms of therapy to manage stress or emotional/psychological issues?
Yes
No
Are you currently on a medication to manage depression or any other psychological issue?
Yes
No
Are you currently being treated by a physician for any condition or illness (mental/emotional/physical)?
Yes
No
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