New client intake

Tell me where it hurts.

Five minutes, once. I read every intake myself, and your answers shape your first session before you ever walk in — or log on.

Full name

Phone (optional)

Where's the main pain?

How long has it been going on?

Session preference

In-person (LA) Virtual 1:1

What have you already tried?

What does fixed look like for you?

How did you find Well Kept Wellness?

Best days / times for you (optional)

Your info goes to Derrick only — never sold, never spammed. You'll hear back within one business day.

Got it. I'm on it.

Check your inbox — a personal welcome from me is on its way, with next steps for booking your first session.