We ask all Client to take a few minutes and fill in the Client Intake Form.
This information will let us know your history and areas your having issues with.
Because we take handling your personal information seriously, this form is being process through a secure socket layer and all of your information is transmitted and stored in an encrypted format.
Let's begin the process by telling us your identification information.
Note: Once your account is created, you will be able to return & update your information at anytime.