Below you will find the forms that need to be completed before your initial session. I prefer you to download, fill out, and return the forms via email to firstname.lastname@example.org (don’t forget to sign them!). However, you are also welcome to print a copy — if so, please fax these to me at (888) 972-6250, or remember to bring these copies with you to my office. If you prefer, you may arrive 15 minutes early to fill out these forms. The forms can be found on a clipboard in the waiting room.
- Client Information – pdf – word doc
- Credit Card Authorization – pdf – word doc
- No Subpoena Agreement – pdf – word doc
Clients wishing to communicate via video calls, please complete this form:
For yoga private sessions, you will only need to complete the following form:
These additional forms do not require you to fill anything out. I am required by law to provide you with the Client Agreement/ Notice of Privacy Practices and Social Media Policy for you to read. The Release of Information form is only needed if you wish me to share your confidential information with another professional.
- Client Agreement / Notice of Privacy Practices – pdf – word doc
- Social Media Policy – pdf – word doc
- Release of Information – pdf – word doc