New Client Form

Please fill out the information below at least 24 hours prior to your scheduled appointment

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If using Zoom or the Free Conference Call HD app, I will email you the access instructions prior to our session time using the email you provided above. For phone calls, I will call you at our session time using the phone number provided above.
Do you agree to the following: I will show up for my appointment at the time that I have scheduled. If for whatever reason I can't make my appointment, I'll cancel using the link I received in my confirmation email.