This is a comprehensive intake form to be completed prior to your initial session. Please complete the sections applicable to you and submit! This form is covered under HIPAA regulations via G Suite...your privacy is important to me! Also, if you navigate AWAY from this form in this same window, you may loose your work! If you need to look something up, best to do it in another browser, or in a different window.
Please note that possible contraindications to this session include: current infection, presence of an IUD, recent surgery, currently menstruating, active cancer, some conditions that classify a pregnancy as high risk, anything contagious. This treatment is not a substitution for qualified health care, so please use good judgement for your health and safety. Contact me directly at
osunray@gmail.com or 512-919-0132 for specific questions.