Intake Form

Please fill out this form and bring it to your first appointment.

Click to download PDF.



Patient and Practitioner Agreement

Your appointment time is set aside exclusively for you. Please respect your commitment to your health and my time as a practitioner. Please arrive on time to your appointment. You are expected to give a minimum of 24-hours to change or cancel any appointments. There will be a charge for the visit if this policy is not respected. Your respect and understanding are greatly appreciated.