History for New IST Clients

If you could take a few minutes to fill out this form before our first appointment that would be wonderful. We will review it as well as go over some other questions at our first session. Go into as much or as little detail as you like. Make sure you have also completed the New Client Personal Details form located HERE.

Thanks!
Cecilia
ox 

Name *
Name
Do you smoke cigarettes
Do you drink alcohol?
Do you do drugs (incl cannabis)?