Client Intake Form
Please answer these questions to the extent you feel comfortable.
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Although I’m not supporting you from a medical point of view, it would be really helpful if I am able to understand you & your health so that I may support you in the best way possible.
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You may not be able to answer some of these questions & that is totally okay too. We are going to work together closely so I can help you fill in any gaps to make the best choices for your individual situation.
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Thanks so much for completing this intake form.
I know it was a lot, but it's really going to help me support you better 🤎