Downloadable Form

Below please find my Health & Wellbeing Form required to be completed when receiving an  Integrative Healing Session. When filling out my intake form you have two options.


1.   You can download the form, print it, fill it out and bring it with you on your initial visit.  

2.  You can download the form, fill it out online and email it back to me prior to your appointment.


You will need Word on your computer to access this form.  


Consent Form in Word format

Health & Wellbeing Form
Health Wellbeing Form Word.doc
Microsoft Word document [230.0 KB]














Proudly serving clients from the following communities: Seattle, King County, Snohomish County, Pierce County, Tacoma, Bellevue, Renton, Sea-Tac, Shoreline, Redmond, Kirkland, Issaquah, Sammamish, Kent, Auburn, West Seattle, Lynnwood, Mountlake Terrace, Woodinville, Kenmore, Fife, Federal Way, Edmonds, Brier, Bothell, Lake Forest Park, Mercer Island, Newcastle, Normandy Park, Green Lake, Carnation, Duvall, Everett, Monroe, Lake Stevens, North Bend, & Snoqualmie.

Call me for more information or to schedule an appointment.



Book an appointment with Rebecca Maxcy, LMP, CBP using SetMore
Print | Sitemap
© 2009-2024 Maxcy Enterprise, LLC