Forms | It Takes A Village M

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It Takes a Village

FEATURING:

Myofunctional Therapy

Rhythmic Movement Therapy

Lactation Consultant (IBCLC)

Our Forms

Intake form for Infant and Toddler

Start Infant Intake Form

Intake Form Children 4 years and older

Start Ages 4+ Intake Form

Adult (18+) Intake/Health History Form

Start Adult form

Client Agreement

Sign Client Agreement

Liability Waiver

Sign Liability Waiver

Privacy Practices

Sign Our Privacy Practices

Consent & Release for Minors

Sign Our Consent & Release

Privacy Policy

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