A Journey to Light
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The light has come. You are ready to begin your journey toward awakening.
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"The light in you is what the universe longs to behold."
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In order for us to fully evaluate you, please fill out the following intake form to the best of your ability. This questionnaire is voluntary. It helps us to address you as a whole person with complete care and mindfulness.
We realize that you may not remember or have access to all of the requested information; do the best you can. If there is information you do not want in your medical chart you may refrain from including it here. All information entered herein is strictly confidential.