Forms

Before Your Visit

Please know that your medical records are safely on file here at The Center for Healing and will remain confidential at all times, per federal law.

Before your visit, please download the fillable forms below, apply your signature and Email before your appointment.

Intake Form

Personal and Insurance Information / Authorizations

No Show Policy

No Show, Late Cancellation and
Co-payment Policy

Rights Policy

Client Rights and Responsibilities Authorization

Telehealth Consent

Telehealth Participation Consent Form

Make the Journey Back to Self Love

Through creating a warm and supportive environment, individuals can begin to process their life struggles and work towards restoring balance.