New client forms:

New Client Form

Release of information to insurance form/financial agreement

Specialty forms:

ACE Survey

Pre-session Covid Screening Form

Name

First Name

Last Name

Email

Have you felt ill in the last 24 hours, including symptoms of allergies?

Yes

No

Have you had any of the following symptoms in the last 24 hours?

Fever

Chills

Sore throat

Severe fatigue or tiredness

Persistent cough

Have you been exposed to someone who has COVID in the last week?

Yes

No