Before your appointment, please fill out and submit our Confidential Client Questionnaire below.

If you would prefer to download it and fill it out, please click the button to download the PDF. The mailing instructions will be on the form.

trauma recovery – Cormorant Garamond

Lorraine Edey

Lorraine Edey -Buenard

Lorraine Edey – Antic Didone

Engagement Agreement for Spiritual Companionship

Gender

Have you seen a therapist for these or any other issues?

Have you been given a mental health diagnosis?

Are your parents living? Check if yes.

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Please select to confirm:

Please read before agreeing above: Description of Services and Disclaimer.