CranioSacral Therapy by Emily Klik, LMT, CST
Gentle bodywork, helping you feel better in your body.
Email: EmilyKlikCst@gmail.com Cell phone, text preferred: 414-688-6522
Intake forms for Adult clients in Wisconsin, age 18 and over
Please print and fill out the following 3 forms for your upcoming CranioSacral Therapy appointment: Intake form Adult WI, CranioSacral Therapy Informed Consent, HIPAA Consent
If you are not able to print these forms in advance, no worries.
A blank set will be provided for you to fill out, upon your arrival to your appointment.
Having your forms filled out in advance will allow more time spent doing CranioSacral Therapy
during our scheduled session.
Please note this last form (called FYI HIPAA Notice of Privacy Practices) is for your information.
It does not need to be printed and signed.