This form is used to gather general information and will be used to help schedule your free intake and maintain correspondence with you.
This form is used to obtain your written consent to services.
Though not required, if you wanted another party (friend, family member, entity, etc..) to be engaged with your wellness progress, this form allows us to do so.
The purpose of a self-assessment is to help an individual know the extent of their abilities and to improve upon them. This information will be used to build your Individualized Wellness Plan.