Yes! We have Forms!
Who doesn't love filling out forms?

Yes, I know...I don't like it either, but here are some forms that will help me help you. Rest assured that none of your information is ever shared with
any third party without your written consent in accordance with HIPAA policies. If you have any questions or concerns with any of the information
being asked, please let me know.

First time client? Be sure to follow these two links - both pages need to be completed prior to your first session.
Initial intake, page 1 of 2
Initial intake, page 2 of 2

Been in an auto accident? Follow these two links. Be sure to bring your prescription to your first session.
Auto accident intake, page 1 of 2
Auto accident intake, page 2 of 2



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Forms
Clients rave about Trina!
WA Lic# MA00019642
NCBTMB# 408387-00
425.647.8831 cell / text
206.420.5310 fax
trinajennings@gmail.com