New Patient Information

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Welcome to the Evolutionary Healing Institute!

Choosing the right therapist and therapy can be a difficult decision and we invite you to review the information throughout our website to see if Unified Therapy™ is where you would like to take your next steps toward advancing your healing, growth, and consciousness.

Here at the Evolutionary Healing Institute, you will be hearing several different names for the work we are doing together with you. The work we do here, under the umbrella of our overall project called The Unification Project™ is called: Unified Therapy™. This therapy is based on proactive interaction with your own biology.

Your initial consult and session will consist of your therapist reviewing and discussing your history and questionnaire forms as they explain to you what will go on and what you may experience during your session.

Examples of Conditions Treated:

New Patient Information Forms:

Please open the forms by clicking on the links below.  All forms are fillable online, but please save each file by adding your name at the end of each file name.  For Example – Trauma History 2024 – Jane Doe

Once completed and saved, please email each of your forms to our office at [email protected]

Any forms that include a signature can be signed electronically, but if you prefer, you can sign in-person at the office.

It is very important that these forms be received by our office prior to your first appointment or that you print and bring with you to your first appointment. Your initial consult and session will consist of your therapist reviewing and discussing your history and questionnaire forms as they explain to you what will go on and what you may experience during your session.

Thank you!

 

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Payment may be made by cash, check, or credit card (includes 3% processing fee)