Completing the intake form is easy

We would love to know what you or your loved one’s specific needs are so we can develop an individualized program for you.

Complete and sign the form online. You will be directed to a secure page. Once all the required fields are filled, click the blue “Click to sign” button. You will immediately receive an email for verification purposes. After you’ve confirmed your email, you will receive a copy of the signed intake form.

You will hear back from us within 3 days after we receive the completed form to schedule your first visit. (There is no required registration fee.)

Here’s the Notice of Privacy Practices you need to review before completing the intake form.

Your instructor will go over the form with you during your first visit. This will be a perfect time to ask any question or raise any concern you may have.

We look forward to working with you!