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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 forms below and bring them with you to your appointment.

Intake Form

Personal Information, Insurance Information and Authorizations

No Show Policy

No Show, Late Cancellation and
Co-payment Policy

Rights Policy

Client Rights and Responsibilities Authorization

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.