Relax and Rejuvenate

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PATIENT FORMS

ALL NEW CLIENTS....To save time at your appointment, please print and fill out Client Intake Form to bring with you to your appointment.  This is required by NC STATE LAW to have consent by client on file.  If not filled out your appointment will be rescheduled or cancelled. 

CLICK HERE TO PRINT FORM NOW

Physician Referral Form

If you are a physician's office or a client wanting a doctor's referral to my office you can print it here.  Clients please print and take to your physician, then have them fax it to the number listed on the form.

CLICK HERE FOR FORM