The forms below provide information about our intake process and the programs we offer, and they help determine whether our services are a good match for you.
Our intake process consists of two distinct steps: Step 1 – a 30-minute video call and Step 2 – a 1-hour evaluation. After we have assessed your Expression of Interest, you will be offered a spot for Step 1 (the 30-minute video call) and Step 2 (the 1-hour in-person evaluation and records).
The purpose of Step 1 (the 30-minute appointment) is to discuss your health history and to understand if our services are appropriate for your needs, as well as to help you determine if myofunctional therapy and breathing retraining are the right fit for you.
Please click the buttons below to access the forms. They include further explanations and guidance to support you before submitting your details.
If you have any further questions or if you have a referral to see us, please email us at support@functionalwell-being.com after your submission.
