Please download and complete this three-page form before our first session.

• • • Intake Form & Consulting Agreement (PDF) (Revised, 3/13/2025)

This is a fillable form, so you can just type into each field, SAVE AS to your desktop, and email it to kay (at) kayheatherly (dot) com.

If you are not able to do that, please download Adobe Acrobat Reader, print, complete, scan and email to Kay.