Helpful Forms

The following forms are designed to help us work together more easily.  Fill them out and bring them with you to your first appoinment.

It is important to me that we are on the same page regarding your goals and your whole health.  These forms help us have a clear dialogue on how to best use our time together

Also, if you can send an electronic copy of your vaccination record in accordance with Illinois law that will speed our intake process.

Covid-19 Consent

Consent for Treatment in the time of Covid

Covid-19 Questions

Questions about potential Covid exposures

Client Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Note: To download Adobe Acrobat Reader for free, click here.