Printable PDF Intake - Freedom From Chronic Pain

This is the place where pain and distraction are transformed into peace, solace and a new direction.
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Printable PDF Intake

Hello and welcome!

To download a printable PDF of the intake form, please either right-click on the link and choose 'save-as', or else just click on the link to download the form. Then you can print it off and fill it out and either scan and email it back to me (preferred) or text me a snapshot of it. (number to text.)

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