Client Forms

Please print, fill out, and bring the appropriate modality intake form(s) to your first appointment. .

Please print, fill out, and bring to your first appointment

If your auto insurance will be providing reimbursement for service, please contact me in advance and bring the following items to your first appointment –

For your use –

Catherine Patillo, LMT, NCTMB, CHt

contact@cathypatillo.com

801-864-4545

Professional Medical Office Building

2180 East 4500 South, Suite #135B
Holladay, Utah 84117