Health Intake Form
You are embarking on a re-start for your life. The body has a language to guide us toward the resolution you seek, which requires taking an in-depth look at all the details of life and health in order to discern where we are being guided to resolve the underlying causal stress fueling your symptoms and complaints. We strongly recommend that members stop taking all supplementation and non-necessary medications 24 hours before scheduled Assessment/Session, as they may affect the accuracy of the stress-reactant testing (exceptions to this recommendation include those visiting for Massage or CranioSacral services). If you are taking necessary medications, don't worry, we will accommodate accordingly. Do not discontinue any medications without consulting your primary doctor/health care provider. We are proud and capable of working with all health care situations and needs.
NOTE: This form may take over an hour to complete. It is intentionally thorough and affords us the insight that would normally be gleaned from an initial session. Your efforts here save time and money spent in the therapy room. Though you may have your own copies of medical history and records, it is necessary that you enter the information on this particular form. You may save your progress throughout this form, but please allow appropriate time to complete before your first session. If you prefer to print the form and complete it by hand, you may do so here.
For Instructions on how to Save & Return, click here.