New Client Paperwork

New to the practice? Welcome. Start here.

Submit paperwork via email to mysticmandala@gmail.com or via the CONTACT box at the bottom of this page.

New Client Info Form

All the important questions . . . answered by you!

Privacy Policies

This form is required-by-law for medical providers.

Office Policies + Consent for Treatment

This form describes my specific office policies and terms for our work together.

Insurance/Payment Info

This form collects insurance information or provides a waiver to sign if you will not be using insurance. A credit card is kept on file for missed appointments, which have a $75 fee.