OM.YASI Wellness

Helpful Forms

The following forms are designed to help us work together more easily:

Well Being Client Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

HIPPA Privacy Notice, Informed Consent & Financial Policy

This Form describes how health information about you may be used and disclosed, authorization for treatment & patient's Financial responsibilities.

Note: To download Adobe Acrobat Reader for free, click here.