Women’s Health History Form

Your Health History.

I’m so glad you’re here!  If you’re here that means you’ve taken a step in giving more time and space for yourself to create a wellness that makes sense for you.  And I’m grateful I get to be a part of it!


Below is the form to be completed at least 24 hours in advance of our first meeting (the Clarity Session).  You can type your answers directly into this form and I’ll receive a copy.  Remember, lean into you, your gut answers, and what comes to mind (without judgment).  This is about gathering those experiences, that history, your goals, and desires so that we can get to creating!

**Please see that there are multiple pages (so you will need to click the button “next” at the bottom).  The progress bar will be completely filled when you are done!

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