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Fill out the confidential intake form below and we will respond to you ASAP. Please note that if we work together, you will be asked to talk about your answers, but your partner will not be shown this form. Most questions will need to be answered (ones with a red asterisk), or you will not be able to submit this form.
Couples Wellness Initial Intake Form Partner 2
You are now taking the first step to make yourself and your relationship better. I look forward to speaking with you with the hope you will be able to join our team.
H e l p i n g Y o u S o a r T o Y o u r P e a k P o t e n t i a l