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Wooden Steps
Wooden Steps

You've scheduled an intake. Congratulations on taking the first step! But, now what?

Please take a few moments to fill out the following forms before your first appointment with KristyLPC. Completing these in advance will help ensure we can make the most of your time during your initial session. Thank you!

Health declaration

Please fill out the following form.

Date of birth
Month
Day
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
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