(949) 346-4488

Bridging The Gap
Bridging The Gap
  • Why We Care
  • New Client Information
  • How Can We Help?
    • Elder Care
    • In-Home Exercise&Therapy
    • Balance Mobility Strength
    • COVID19 Safety Regulation
  • Meet the Staff
  • Contact Us
  • More
    • Why We Care
    • New Client Information
    • How Can We Help?
      • Elder Care
      • In-Home Exercise&Therapy
      • Balance Mobility Strength
      • COVID19 Safety Regulation
    • Meet the Staff
    • Contact Us

(949) 346-4488

  • Why We Care
  • New Client Information
  • How Can We Help?
    • Elder Care
    • In-Home Exercise&Therapy
    • Balance Mobility Strength
    • COVID19 Safety Regulation
  • Meet the Staff
  • Contact Us

New Client Intake Paperwork

The Intake Form

Please provide the address where services will be delivered and your preferred email for billing purposes.

INTAKE FORM

Client Service Agreement

Please review this form for general information. For new clients, their personalized waiver, including your specific pricing details, will be provided within their first month.

Client Service Agreement

New Client Information Section

Welcome to The Family!

  1. Complete the intake form above with your contact information and service needs.
  2. Call 949.346.4488 or email us to schedule an introductory appointment and discuss how we can best support you.
  3. Seth Hodosh will coordinate your ongoing session times based on current scheduling availability.
  4. When you receive your first month’s invoice, you’ll also be sent a DocuSign form to review and sign the Client Liability Waiver and confirm your individualized pricing.


Bridging The Gap

contact@bridgingthegap.co (949) 346-4488

Hours

Monday - Friday: 7am - 6pm

Saturday: 7am - 5pm

Sunday: Closed

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