Thank you for choosing TK Center for Healing & Wellness. Please answer each question honestly and to the best of your knowledge. Please type “N/A” if the question does not apply to you.
*Please be advised there is a current waitlist for new clients. Upon an opening that fits the availability you list on this form, you will be contacted via EMAIL with a 48hr window to respond.
*If you are experiencing a medical or mental health emergency please call 911 or go to the nearest emergency room.
*Submitting this form is NOT an agreement or start of services*