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| Eastern Approaches, LLC 82 Palomino Lane, Suite 501 Bedford, NH 03110 603-548-0893 Copyright 2002-2009, All Rights Reserved |
I encourage all new clients to feel free to ask any questions prior to beginning their
treatments with me. Over the years I have found that many clients have similar concerns,
and I have addressed several of these in the Frequently Asked Questions page.
The attached form is a guideline for me to determine your needs and the best approach
to your treatment. Your answers are completely confidential. If you have any issues or
concerns that are not addressed elsewhere on the form, please feel free to write in the
'additional information' section, or attach another piece of paper.
New Client Intake Form
Please print out, and complete as much as possible. Bring the completed form in with
you to your first appointment. Thank you and I look forward to seeing you at Eastern
Approaches.
~ John
treatments with me. Over the years I have found that many clients have similar concerns,
and I have addressed several of these in the Frequently Asked Questions page.
The attached form is a guideline for me to determine your needs and the best approach
to your treatment. Your answers are completely confidential. If you have any issues or
concerns that are not addressed elsewhere on the form, please feel free to write in the
'additional information' section, or attach another piece of paper.
New Client Intake Form
Please print out, and complete as much as possible. Bring the completed form in with
you to your first appointment. Thank you and I look forward to seeing you at Eastern
Approaches.
~ John