Intake Forms

Paperwork for Your First Visit

Please Fill Them Out, Sign Them, and Bring Them to Our First Session

Mt. Rainier from Pinnacle Peak Trail

Prior to your first appointment with me, I need you to fill out two downloadable forms. Filling them out before you come in will give us more time for our session  — and that’ll make us both happy!

  • The first is an Intake form. Filling it out  ensures that I can provide you with a safe treatment and help you meet your goals for our session.
  • The second is an explanation of my policies which I request that you download, read, and sign.


Thank you! I’m looking forward to seeing you soon. Please feel free to call me if you have any questions.

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Copyright 2013-2019 Nancy Hausauer