Client Intake Forms

Now that you’ve signed up for your sessions, please take the time to complete the form below. The Client Intake Form allows you to provide relevant background information related to your history and goals. After completing that form, please read the Client Bill of Rights and initial below.

All information provided is completely confidential and seen only by Sean Wheeler himself. Please feel free to be as honest and forthcoming as possible, as this information will help Sean to gain insight into your history and goals, which will expedite your path to success.

  • MM slash DD slash YYYY