New Client Intake Forms

Please click one of the links below to get the appropriate form to print, fill out and bring with you to your first appointment.  It will save us some time so we can focus on your specific needs!



Please feel free to also email the forms to POWERSBILLING@GMAIL.COM prior to your first appointment.

Alternatively, if you are just interested in knowing your benefits or whether we accept your insurance before scheduling your initial appointment, please access the Contact Me page and fill in your policy information.  My office will be happy to check your benefits and will get back with you as quickly as possible. 


Thank you.