The following form may seem long, and it will take the time to answer it.
I really want to know about you and information enteder helps me as I help. Please note that many questions are personal and can evoke strong feelings or memories. Please take care of yourself and if you feel very upset, stop and try again later. Writing and confront all this is the first step in your healing process.
Notes that when making a payment or request an appointment, these expressing your knowledge and acceptance (informed consent) of the Terms and Conditions of our therapeutic relationship.
If you have not read, before completing this form I invite you to read those Terms and Conditions here