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All forms must be completed prior to session.

The security of your information is important to us. Our forms utilize end-to-end encryption and HIPAA-compliant technology. 

As such, your answers will not be saved until all required fields are completed & submitted. Please allow yourself about 20 minutes to complete these forms. 

If you're unsure how to answer a question, simply type 'unsure' and continue. 

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Individual Adult

Intake Packet

The Vine Wellness Group

14802 Jones Maltsberger Rd #1101, San Antonio, TX 78247, USA

17080 HWY 46 #109 Spring Branch, TX 78070, USA

help@thevinewellness.com

(210) 490-4419

©2020 by The Vine Wellness Group