Embrace Every Part, Heal, & Become A Healthier Version Of Yourself.
If you are a new client, welcome! Please fill out these intake forms and email them back to me before our first session. Forms should be emailed as an attachment to shira@eq-wellness.com.
- Client Intake Form for Minors up to age 17
- Client Intake Form for adults ages 18 and up
Please reach out with any questions regarding these intake forms.