Patient Forms

Please download, fill out, and bring the forms for private sessions with you to your appointment.
Staying Centered in Chaotic Times Workshop Application can be emailed to me.

PLEASE DO NOT WEAR ANY PERFUMES OR ARTIFICIAL SCENTS TO YOUR SESSION.
I APPRECIATE YOUR UNDERSTANDING.

 

Sharing information about yourself in these forms can be challenging for some people for a variety of reasons. If you have had a challenging history, try filling out a section at a time instead of trying to do the whole thing at once. Please reach out to someone you trust for support, as you fill out the forms. This graphic: which-resource  can help you stay present.

PLEASE NOTE:


For the forseeable future,

I will be accepting

virtual consultations only.

Appointments are available

Wednesdays through Fridays

from 4pm until 7pm.

These sessions are payable

through the Zelle app only,

until September 1, 2021.

After that I willbe taking

other forms of payment

once again.

 

 

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