Please fill out this form before your scheduled Initial Consultation appointment with the therapist. You can access the form HERE

All information provided is kept strictly confidential and is deleted from our system once processed.

IMPORTANT: Due to the time required to process your information, please fill out the form at the latest two working days prior to your appointment. If we do not receive your filled out form in the requested time, your appointment will be cancelled and we will ask you to contact us again to book a new appointment.