Treatment Intake

Completing this form allows me to customize our treatment plan to give you optimal results, and understand your preferences. Each treatment is completely customized to suit your individual goals and ideal experience. If there are inquiries or information you wish to share not listed in this form, please do so at the bottom of this intake. My goal is to create the most effective treatment plan for your personal needs and concerns.

Cancellation Policy

We ask that you provide us with 24 hour notice of any changes, rescheduling or cancellation of any appointment. For changes that are made with less than a 24 hour notice will be charged in full.

Late Arrival Policy

Late arrival appointments will be seen and treated with the time that’s remaining with service fee reminding the same.

Payments can be made by Check, Cash, Venmo or Zelle and are due at the end of each session.

Please note that same day appointments are not accepted. This allows me time to create a customized treatment plan.