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Client Intake Form

The basics – your contact information, a little bit about your daily life, and what’s bringing you in.

New Client Forms

Let’s Get You Ready for Your First Session

Before we meet, I ask every new client to complete a few short forms. They help me understand your history, your goals, and what’s really going on with your body, so we can make the most of our time together from day one.

Please fill them out at least 24 hours before your first session or discovery call.

Your Information Is Private

Agreements & Disclaimers

• Informed Consent

• Client Service Agreement

• Scope of Practice Disclaimer

• Health Services Disclaimer

Everything you share is kept confidential and only used to guide your care. If you have any questions before filling these out, feel free to reach out or bring it to your first session.

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Health History Form

Your medical history, past injuries or surgeries, current symptoms, and any factors like sleep or stress, that may be influencing how you feel.

Complete Health History Form →

Questions? Contact Me →

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Your Reconnect Goals

A chance to think through what progress actually looks like for you – beyond weight loss and appearance, so we can build a plan around what matters most to you.

Complete Goal Setting Form →