Information Package

 

Intake Form

Please complete this before the appointment.

Complete Form

 

Confidential Information

Please print, complete and sign this and bring to your appointment.

Download Confidential Information Document

 

Terms of Acceptance

Please print, read and sign this to bring this to the appointment.

Download Terms of Acceptance Document

 

Times and Reasons

Please print and complete this to bring to your appointment.

Download Times and Reasons Document

 

Ideas To Replace Cigarette Smoking

Please print, add your ideas and bring to your appointment.

Download Ideas To Replace Cigarette Smoking Document

 

Pre-Session Action Plan

Please read this document before your appointment, making sure you follow the links it contains. Keep for reference later.

Download Pre-Session Action Plan