NEW CLIENT INTAKE FORM
All new clients, please complete the information below. Someone will contact you for scheduling. Thank you
GENERAL CONTACT
This is for general communication- i.e. rescheduling appointments, question for your provider are just a couple examples. Please specify the name of the provider if you wish the message to be forwarded. We also have a phone number for both locations 724 884-0466 which is password protected if you wish to call us and leave a message.
“You cannot solve a problem from the same consciousness that created it. You must learn to see the world anew.”
– Albert Einstein