New Client Forms

Your First Step Toward Renewal

Welcome to Mind Rejuvenation. We're honored to support your wellness journey. To help us understand your needs and provide the most personalized care, we ask that all new clients complete the intake forms before your first session. These forms are designed to be simple, confidential, and supportive of your goals. Whether you're seeking clarity, healing, or renewal, this first step ensures we begin with compassion, insight, and intention.

Once completed, simply bring these forms to your first appointment so we can start your journey with ease.

Initial Intake

This form helps us get to know you—your background, goals, and current needs—so we can begin your care with understanding, compassion, and clarity.

DOWNLOAD FORM

HIPPA

This form allows you to authorize a trusted family member or friend to access your health information, ensuring support and transparency in your care.

DOWNLOAD FORM

Medication Form

This form will help us understand which medications you’ve previously tried and which have not been effective—this helps us tailor your care with insight and intention.

DOWNLOAD FORM

Contact Mind Rejuvenation

Start Your Healing Journey Today

Whether you’re ready to book your first visit or simply have questions about our treatments, we’re here to help. Fill out our contact form and a member of our team will reach out shortly. Every step you take toward wellness matters—and we’re honored to walk it with you.

Mind Rejuvenation

New Client Forms

New Client Forms

Your First Step Toward Renewal

Once completed, simply bring these forms to your first appointment so we can start your journey with ease.

Contact Mind Rejuvenation

Start Your Healing Journey Today

Whether you’re ready to book your first visit or simply have questions about our treatments, we’re here to help. Fill out our contact form and a member of our team will reach out shortly. Every step you take toward wellness matters—and we’re honored to walk it with you.

Hours

Mon - Thur

Fri - Sun

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