Please take a moment to print and fill out all 3 forms honestly, and to the best of your ability. I will collect and review these forms upon our first meeting, so that we may address your concerns, and discuss the proper protocol(s) that best suit your specific need(s).

All information shared with me is kept strictly confidential!

Thanks Very Much,
Eddie.
Evaluation Form Page 1
Evaluation Form Page 2
Consent Form