Please DO NOT email or fax me your partially completed form. I can't save you money and me time if I have to print the form out for you to sign the liability release at the bottom of the 2nd page after your session. Bring it with you each time you attend.

Tap the form below ... then the box with an arrow to bring up the form to print. Fill it out and bring it with you to your appointment. If the form won't download or print just come in about 10 minutes early and we'll let you fill one out when you arrive.

Make sure your printed copy is only 2 pages long. If it prints longer, come in early and fill one out when you arrive. If this occurs, your printer's settings are not set to match my form.

Or text me and I'll email you a copy.

10-22-22 Client Information and Release Form.pdf