Please fill out this form in order to begin your Relationship Intensive Intake process. Once received, you'll be contacting via email to set up your free consultation call to help you decide if a Relationship Intensive is right for you and your partner.
**** CONFIDENTIALITY NOTICE ****
Please note: GoogleDocs, GoogleForms, and/or email are not secure or confidential ways to communicate. Never send sensitive or confidential information via these formats unless you have carefully considered the risks in doing so.
Please only use this GoogleForm to request an intake appointment if you have considered the confidentiality risks of doing so.