If you are a new client, a returning client with a change in medical history or you want to update me on your treatment needs, please fill out a Client Intake Form. All information on this form is confidential and for private appointment/treatment use only, including contact information.

To fill out the intake form online, scroll down to the form below.

To print out the intake form and fill it out on paper, follow this LINK for a PDF download

If you do not have a printer, you may also arrive 5 minutes early to your appointment, so that I can provide you with a printed Client Intake Form to fill out beforehand.

**Please note: I am asking all my former Inman Oasis clients to fill out the Client Intake form before their first visit, as I need to create a new client treatment record, and do not have access to prior records at Inman Oasis.**