New Client Wellness Intake Form

As this marks the beginning to your womb wellness journey - I encourage you to please take the time to hand write out your answers in a journal or on these sheets you have printed out.  This serves two purposes:  It enables you to create a timeline for yourself to reflect on as you take this journey, and it allows you to connect with your body and hold space for what you have experienced letting pen on paper be your witness.

Please print PAGE ONE with your signed dated confirmation of TERMS & CONDITIONS. You may either email a scanned copy or take a screenshot and send that to prior to the intake consult zoom session.

When you are done, just click CONTACT ANNIE and we will schedule your zoom - plan a 2-3 hour initial intake consult.