NEW CLIENT FORMS

Hello!

We are so happy to be able to connect and help you. To get started, please complete the form (or forms if applicable) located in the tabs below.

We look forward to getting to know you!

Please complete the following confidential intake form prior to an initial music therapy visit.

Are you filling out this form for someone else? Once you’re done, please complete the Music and Life Questionnaire located in the next tab for them as well.

Need to schedule an initial music therapy visit? Call us at  (913) 548-7169 or contact us here.

Caregivers, please complete this form out prior to an initial music therapy visit as well as the Client Intake Form in the previous tab.

Need to schedule an initial music therapy visit? Call us at  (913) 548-7169 or contact us here.

We value your privacy and protect it. Learn what we collect and how we handle information by viewing our Privacy Policy.