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