Craniosacral Therapy | Massage | Reiki
  • Home
  • Services
    • Craniosacral Therapy
    • Energetic Alignment Sessions
    • Flower Essences
    • Somato-Emotional Release
    • Pediatric/Infant Sessions
  • Schedule Online
  • Client Intake Forms
  • Contact
  • Gift Certificates
  • Home
  • Services
    • Craniosacral Therapy
    • Energetic Alignment Sessions
    • Flower Essences
    • Somato-Emotional Release
    • Pediatric/Infant Sessions
  • Schedule Online
  • Client Intake Forms
  • Contact
  • Gift Certificates
Search

At your first session I will have a brief intake form for you to fill out. You can also complete the form ahead of time by downloading the pdf below and printing the document to bring into your appointment. Please call or email if you have any questions.
Client Intake Form
File Size: 254 kb
File Type: pdf
Download File


Picture
Alissa K Kipp LMT #18918
Email:  ilomindbody@gmail.com
Phone:  503-961-4036

ilo WELLNESS - 123 NE 6th Ave - Portland, OR 97232

Photo used under Creative Commons from wplynn
  • Home
  • Services
    • Craniosacral Therapy
    • Energetic Alignment Sessions
    • Flower Essences
    • Somato-Emotional Release
    • Pediatric/Infant Sessions
  • Schedule Online
  • Client Intake Forms
  • Contact
  • Gift Certificates