Email

therapyrootsllc@gmail.com

You can also contact me via phone (call/text): 763-226-5198

Contact us 

If you have any questions regarding Biodynamic Craniosacral Therapy or Myofunctional Therapy, please reach out! 

Intake Form(s):

Intake forms are below. They also can be sent to you following confirmation of initial appointment. Paperwork can also be complete when you arrive, please arrive 15 minutes prior to your scheduled session to complete paperwork. Consent Agreement and Client Bill of Rights is for every new client. Release of Information is if you would like to to connect with any provider that you are working with. If you are unsure what intake information you need to fill out, please don't hesitate to reach out and ask. 

Consent Agreement Pdf

PDF – 803.8 KB 16 downloads

Client Bill Of Rights Pdf

PDF – 50.4 KB 13 downloads

Release Of Information Pdf

PDF – 804.1 KB 13 downloads

Infant Intake Pdf

PDF – 796.0 KB 11 downloads

Bcst Intake Pdf

PDF – 801.1 KB 13 downloads

Myo Intake Information Child Pdf

PDF – 794.1 KB 14 downloads

Myo Intake Information Adult Pdf

PDF – 791.9 KB 11 downloads