All forms are available in PDF and Word formats. Please use the Word form, and email it me. Only use the PDF format if you’re unable to use Word. I like to have it typed when possible. Thanks.
Adult Intake Form
This form is for the following services:
- Body-Centered Healing
- Healing Early Imprints for Adults
Family Work – Parent & Child Intake Forms
Each parent should fill in one:
"Karen Melton has the capacity and skill to work with deeply ingrained patterning like no one I have ever come across. I spent many years in therapy, but until I met Karen, I didn't have the understanding of the core of my issues and how to unwind them. Karen’s love, clarity, intuition, strength, intelligence and depth have truly impacted and changed my life."
Nicteha Cohen – Sonoma County
"For the first time in my life, my nervous system is set at neutral and I am consciously and fully embodied. Everything is different. EVERYTHING. After a tenuous entry into the world as a newborn, and being raised by people who were deeply wounded, I am becoming who I was always meant to be. Thank you Karen. You are helping me and helping all the women, babies and families I will touch now, and in the future. Forever grateful ..."
Melanie C. – Doula & Midwife Consultant