This form is to be completed after you have scheduled an appointment with our staff.
If you have not scheduled an appointment yet, please click *Here* . Please use the following link to quickly fill out an intake on your smartphone, tablet, IPAD or computer.
Please choose the following email brianstemetzki@yahoo.com for the last question to email us your intake info. Please make sure you click the submit button to send your intake. The screen should say intake successfully submitted. Please have the forms filled out 24 hours prior to your first session, it helps the therapist get the information they need to help treat you
DO NOT FILL OUT THIS FORM IF YOU HAVE NOT ALREADY SCHEDULED AN APPOINTMENT.