Client Intake Form

Please take a few moments to complete our Client Intake Questionnaire. Download the fillable PDF, print and bring the completed form to your consultation. Download Here

PLEASE READ & ANSWER ALL OF THE FOLLOWING QUESTIONS CAREFULLY!!!!

IMPORTANT: The consultation will NOT OCCUR unless all questions are answered. Most questions require a “yes” or “no.” Answer “yes” if any questions apply to EITHER you or your spouse. Explanations and details will be asked during the consultation. If unsure, put “?” for your response.