This intake form is for new clients after we have communicated and agreed to work together. For couples, please fill the form out individually.
In respect of your privacy, please do not fill this out until you have been asked to do so. If you are are interested in becoming a client, please contact me directly first, thank you.
Depending on the browser you use, the form may become blank after you submit it – it has been received and there’s no need to resubmit.