Client Intake & Consent Form

If you would like to set up a session with me, please fill out the intake & consent form below. Within 24 hours, you will receive an email from Eri Suzaki, the therapist to schedule a date. If you don’t receive a reply within 24 hours, please contact at eri@k9therapeutics.com.

xxx-xxx-xxxx
e.g. 'xx years old' or 'MM/DD/YYYY'
MM/DD/YYYY