Client Forms

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New patients can download and complete the forms required and bring them to your first session.

Please complete one of the intake forms below:

Required for All

"Wellness is more than having a healthy body, it entails having a sound, clear and positive mind,
the ability to manage emotions, and the ability to communicate effectively." - Suzanne Nixon

About the Practice

Supporting health, wellness, therapy, and counseling throughout Loudoun County, Leesburg, Ashburn, Washington, D.C. and the greater Northern Virginia (NOVA) area.

Northern Virginia Integrative Therapy Center is a member of the Loudoun County Chamber of Commerce.

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