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Forms

Before your first appointment, download
the forms below, fill them out, and
bring to your first visit.

Welcome to Integral Therapy

Welcome! Please take a moment to read this informational letter to join our community and get the best experience. Contact us if you have any questions or concerns. Thank you!
 

New Client Intake Form

Welcome to Integral Therapy! We are honored to be working with you through integration of mind and body.
and look forward to serving you and your family, either in the therapy and yoga offices, or through telehealth.

HIPAA Policy Form

This HIPAA form describes healthcare privacy practices, patient's personal health information, required law,'s use and disclosure of information, patient's rights to access and control.

Integral Therapy Inc. Policy Agreement

Starting therapy is a big decision and you may have questions. This form explains our policies, state and federal law, and your rights about mental health treatment. You should be aware that therapy is designed to be helpful, and it may also be difficult and painful at times.

Depression Questionnaire

This questionnaire assesses an individual's symptoms and experiences related to depression. It includes questions about mood, sleep, appetite, energy levels, and other factors. It can be used healthcare professionals to diagnose depression or by individuals to better understand their own mental health.

Yoga Waiver

A Yoga Waiver form is a legal document that outlines the risks associated with practicing yoga and releases the yoga studio or instructor from liability in case of injury. It includes information about the participant's health, any pre-existing injuries or conditions, and a statement acknowledging the risks involved.

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