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Intake Forms

There are two forms that need to be completed before or during your first visit with Anne.

Information Sheet:

The first is a basic information sheet that consists of some simple questions and contact info. This will need to be completed for Anne to provide the best care possible to you.

To save time you may download the information sheet now, complete the form and bring it with you to your first visit.

CLICK HERE TO DOWNLOAD AN INFORMATION SHEET FOR A CHILD

CLICK HERE TO DOWNLOAD AN INFORMATION SHEET FOR AN ADULT

Consent to Service:

Your privacy is very important to Anne. The Consent to Service is a short form that explains confidentiality and gives Anne consent to provide services to you.

To save time you may...

 DOWNLOAD THE CONSENT TO SERVICE

 ...complete the form and bring it with you to your first visit with Anne.

Downloading and completing these forms before your first visit will save time and allow more time for therapy.

If you have any questions please do not hesitate to email Anne at anne@annegraham.ca or call 434-5159.

Thank you so much!