Please print and complete the following forms. Bring your completed forms to your first appointment.  Information is used for stress reduction purposes only.  

These forms take about an hour to complete.  They provide critical information for our first session together in understanding your needs and goals.    

Thank you, Kari

• Consent form
• Intake Questionnaire
• Intake Wellness Form
• Supplement Form
  
• QRA First Time Evaluation
• 
  

If you have any questions, you can contact Kari at:

• (920) 410-4022
• kari@wellnessessentialsllc.com
  
• Contact Us on this Web Site

Thank you for your interest in your  wellness.  I look forward to co-creating a renewed YOU!.

~ Blessings ~

Kari Uselman, Ph.D.