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Client Forms

Below are forms you may fill out prior to your first visit (The Health Information Form) or to try and receive health insurance reimbursement (Phys. Permiss. and Refer. Forms) or to let the therapist know how you are progressing and what you feel about the therapy in general (Health Status Update, Feedback Forms). Thank You!

  1. Health Information
    Form

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  2. Health Status Update
    Form

    download

  3. Client Feedback
    Form

    download

  4. Physician's Permission
    Form

    download

  5. Physician's Referral
    Form

    download




Free-Of-Charge Phone Consultation - Up to 25 minutes (616) 813-2864


  I am so very thankful and am forever indebted to Dr. Barbour whose work, dedication, caring and sharing of his acquired knowledge and healing abilities have enabled me to practice as I do. Most of what I currently practice is directly due to his teachings.