Please fill out the following form before your first visit and/or your first all-day session. It is a lengthy form and may take approximately 1-2 hours. You are able to save during the process. This form is HIPPA compliant and goes directly to Dr. Michaelene.
Or you can download the pdf form listed below and email the completed form to Dr. Michaelene or bring it to your first session.
Or you can download the pdf form listed below and email the completed form to Dr. Michaelene or bring it to your first session.
| Questionnaire & Consent Form |