Prepare for Your Session
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Please fill out this form electronically
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Save it as a PDF
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Send it back to me via email
If for some reason it is not possible to follow the steps above please either:
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Print it, fill it out, then Scan it and send it back to me via email
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Or print it, fill it out and mail it to me
This information will be kept private and confidential.
Thanks for scheduling an appointment with me!
-
Please fill out this form electronically
-
Save it as a PDF
-
Send it back to me via email
If for some reason it is not possible to follow the steps above please either:
-
Print it, fill it out, then Scan it and send it back to me via email
-
Or print it, fill it out and mail it to me
This information will be kept private and confidential.
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