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Step 1 - Intake Form

All information provided is strictly confidential.  

Please complete and return this form before your initial consultation.

Please note: Before scheduling a session, I invite you to take a moment to read the following information carefully. Please complete this intake form and familiarize yourself with the Terms of Service and Privacy Policy to ensure a smooth and informed experience.

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Rapid Transformational Therapy (RTT) is a powerful and gentle approach, but it may not be suitable for everyone. RTT is NOT recommended for individuals currently experiencing:

 

  • Active psychosis or schizophrenia

  • Severe PTSD

  • Dissociative Identity Disorder (DID)

  • It may also be unsuitable for those taking certain medications, including antipsychotics, lithium, or narcotics.

 

If you are managing complex health conditions such as severe depression, high-risk pregnancy, cardiovascular disease, or uncontrolled epilepsy, please consult with your healthcare provider before proceeding with RTT. This ensures that your healing journey is safe, supported, and tailored to your individual needs.

Disclaimer: The Kure Method offers wellness and coaching services only and does not provide medical or mental health treatment. Results vary.

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What Support Are You Looking For?

Emotional Well-Being - Choose all that apply:
Behavioral Patterns & Habits - Choose all that apply:
Health & Physical Wellness - Choose all that apply:
Life & Relationships - Choose all that apply:

By submitting this form, you understand these services are educational and wellness based and not medical treatment.

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