Home
About
Services
- Therapy Services
- Yoga Services
Blog
Getting Started
Resources
Contact

(248) 761-7084 | hillary@hillaryfollistherapy.com

Don't Wait to Get the Help You Need Start Here

Telehealth Now Available

All sessions are currently being held virtually until further notice. New clients are welcome. Contact me today to schedule your telehealth appointment!

Client Intake Form

September 21, 2018 by HLLRYFLLSTHRPY83211 Leave a Comment

Client Intake Form

(248) 761-7084
hillary@hillaryfollistherapy.com

Send a Message

Name *

E-mail *

Phone

Comment or Message

Terms of Use *

Yes, I want to submit this form

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Message