Please take the time to complete this lengthy form with as much detail as you feel would help and know that all information is kept within the strictest confidentiality guidelines.
Yes everything is important when telling the story of your body…
Please make sure you do not hit the return button before you are ready to submit because it will submit your information before you are ready and you might have to start over.
If you don’t know the answer you can leave blank.
NOTE: To begin working with me this will be the first step that needs to be completed before we make the initial appointment.
Email me directly if you have any questions firstname.lastname@example.org