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!
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