Forms

Intake Form

Before working together, this form allows us to gather some preliminary information that will help give us a starting point.

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Parental / Guardian Consent Form

This form is required to be completed if the client is a minor ages 15-17.

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Weight Management Form

If you choose to participate in the Weight Management Program, this form is required.

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Smoking Cessation Questionnaire

If you choose to participate in the Smoking Cessation Program, this form is required.