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Client Form

Your task is not to seek for love, but merely to seek and find all the barriers within yourself that you have built against it.”
– Rumi

Client Form

If you are new, please feel free to print and fill out this intake form ahead of time and bring it to our first session. If you are beginning online sessions, please print and fill it out, then email it to me at: LifescapeWellness@gmail.com

Client Intake Form

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Client Form

Client Form

Your task is not to seek for love, but merely to seek and find all the barriers within yourself that you have built against it.”
– Rumi

Client Form

Got Questions?
Send a Message!

You can’t pour water from an empty pitcher.

Client Form

Client Form

Your task is not to seek for love, but merely to seek and find all the barriers within yourself that you have built against it.” – Rumi

Client Form

Got Questions?Send a Message!

You can’t pour water from an empty pitcher.

Your task is not to seek for love, but merely to seek and find all the barriers within yourself that you have built against it.”
– Rumi

Got Questions?
Send a Message!