Client Forms for download

For official client use only:

  Intake Form (779.4 KiB, 73 hits)

  Physical Intervention Consent (326.5 KiB, 81 hits)

  HIPAA Notice (415.3 KiB, 74 hits)

  Informed Consent (423.3 KiB, 72 hits)






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  • Contact Info

    For more information, or to schedule an appointment please send e-mail to: stephanie@imageryandmusic.com or call: 256-655-0648