Congratulations for contacting Mind in Motion

“A journey of a thousand miles begins with a single step” – Laozi

If you are ready to change your life for the better, please complete the Client Intake Form. Please read our Client Consultation Terms Here

Download the PDF Client Intake Form – Please remember to complete it first before our first session. (Please bring it with you if you are having a face to face session) You may also complete the form on your PC and click the ‘Send Agreement Form‘ button (this will load it into your email for sending)

You may download the Adobe Reader here for the viewing of the ‘Client Intake Form‘

After you complete the form I will send the dates and times available for your sessions. 

All the information in the form is completely confidential and it is only used to understand how to better help you reach your goals. Your email address is only used to send you the information for dates and times.

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