Integrative Pelvic Health Client Intake Form

Everything exchanged through this form will be kept confidential unless you ask us to share it with third parties.

Thank you for taking the time to complete this form. It is an important initial step in the journey we take together. Be sure to pay attention to any emotions, feelings, sensations, dreams, coincidences and other clues that may arise in your life during this time.

Looking forward to reading your responses and beginning our work together!