A Center for Healing and Growth
Lisa Haake Therapies - New Patient Forms
When you make an appointment please arrive about 15 minutes early to fill out any necessary forms. If you would prefer, you can download the paperwork packet, fill out the information and bring the forms to your appointment if that is more convenient.
Registration
Form
Please print out the Client Registration Form and fill it out before your first appointment.
Contract /
Fee Agreement
This contract includes information about fees, cancellations, insurance and the process for ending therapy.
Orientation
Information
Please print out the Orientation Information to review and complete before your first appointment.
Yoga Therapy Disclosure
and Release Form
Please print out and sign this form before your first yoga appointment.
Insurance
Information
Please print out the Insurance Information and Release Form and fill it out before your first appointment.
Yoga Therapy
Intake Form
Please print out and sign this form before your first yoga appointment.
Mon: 1pm - 8pm
Tues: 11am - 5pm
Wed: 11am - 5pm
Thurs: 1pm - 8pm
Fri: 1pm - 5pm
Click the icon to review and download any forms you may need before your appointment.
Mon: 1pm - 8pm
Tues: 11am - 5pm
Wed: 11am - 5pm
Thurs: 1pm - 8pm
Fri: 1pm - 5pm