Nichole’s practice is deeply holistic, which means every session is personalized around your body, your history, your current symptoms, your stress patterns, and your overall wellbeing.
This intake form helps Nichole understand what you’re experiencing so she can create the most supportive and effective session possible for you.
The more thoughtful and complete your answers are, the more personalized your care can be.
Why This Form Matters
Your body has a story — and the details matter.
Pain, tension, stress, trauma, energy levels, lifestyle, sleep, medical history, emotional wellbeing, and nervous system patterns can all influence how your body responds to treatment.
By completing this form before your first visit, you help Nichole prepare with greater care, intention, and insight.
A Safe, Supportive Process
Please share only what feels comfortable and relevant.
Your responses are used to better support your session and are treated with care and respect.
This form is not about judging your health history — it is about helping Nichole understand how to support your healing in the most personalized way possible.
What This Helps Nichole Understand
- Areas of pain or tension
- Stress and nervous system patterns
- Medical history or injuries
- Pregnancy or postpartum considerations
- Emotional or energetic concerns
- Treatment goals
- Preferences, sensitivities, or boundaries
New Client Intake Form
Please complete the form below before your first session.
Allow approximately 10–15 minutes to answer thoughtfully.
You are welcome to include additional details wherever it may be helpful.
The More You Share, the More Personalized Your Session Can Be
Thank you for taking the time to complete this step. It helps create a session that is safer, more intentional, and more aligned with your individual needs.
Thank you for trusting Nichole with your care.
You are taking an important step toward feeling better, moving easier, and reconnecting with your wellbeing.