Information Package

 

  1. Intake Form

    Please complete this before the appointment.

    Complete Form

     

  2. Terms of Acceptance

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

    Open Terms of Acceptance

     

  3. Trigger Sheet

    Please print, and complete this to brin to your appointment.

    Open the trigger sheet

     

  4. Ideas To Replace Cigarette Smoking

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

    Open Ideas To Replace Cigarette Smoking