Getting Started

Thank you for choosing Irimiya Trauma Therapy Inc. for your transformational journey. We can't wait to part of your journey before we get started please take a look at the forms below and don't forget to schedule a FREE 15 Minute Consultation. If you have any questions feel free to contact us at

An arrow icon



New Clients

It is an honor to be part of your transformational journey!

As a new client, we invite you to schedule your FREE 15-minute Consultation which allows you to discuss your concerns, ask questions and discuss fees.

You may download, print, and complete the following forms, and bring with you to your Initial Assessment appointment.


New Clients of Privacy Practice

Irimiya Trauma Therapy, Inc. is required by law to maintain the privacy and security of your protected health information (“PHI”) and to provide you with this Notice of Privacy Practices (“Notice”). Irimiya Trauma Therapy, Inc. must abide by the terms of this Notice, and must notify you if a breach of your unsecured PHI occurs. Irimiya Trauma Therapy, Inc. can change the terms of this Notice, and such changes will apply to all information Irimiya Trauma Therapy, Inc. may have about you.


Intake form during COVID

This document contains important information about our decision (yours and mine) to resume/begin in-person services in light of the COVID-19 public health crisis. Please read this carefully and let me know if you have any questions. When you sign this document, it will be an official agreement between us.