Forms

Please fill out the forms below 24 hours prior to your scheduled appointment.

Intake Form
Consent to Treat
Financial Cancellation Policy

COVID-19 VACCINE POLICY

Due to concerns with vaccine reactions and blood clots, no services will be provided until 45 days post your last COVID-19 vaccine. I will not be seeing clients in between doses to ensure no adverse reactions. You will also be required to complete a vaccine liability form due to the nature of contact and working with your body to reduce risk of any complications. You will be responsible for rescheduling your appointment with me if this pertains to you. If you come to your appointment and you fall in this window, I have the right to refuse services and you will still be required to pay for the time slot if not cancelled within my 24-hour cancellation policy. Please be understanding as I navigate these times. My concern is for everyone's health and safety.