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Miya Creative Care Intake Form (Private Sessions)
This intake form is for potential clients/parents/guardians/caregivers who would like to begin private in-home or virtual creative arts therapy services for themselves, their loved one or their patient/client through Miya Creative Care.
*If you are looking for the Psychotherapy form, please click here:
https://forms.gle/F99avu7SuZURTkoJ7
and we will be in touch shortly to book a consultation appointment.
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I'm looking for private sessions with a:
Music Therapist
Art Therapist
Dance/Movement Therapist
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