Platinum Plus Client Intake Form

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If you are interested in Platinum Plus, you’ve come to the right place!

Please take a moment to download and complete the Platinum Plus Client Intake Form. Although you only need to complete the first page, the other pages contain some background questions that will help us understand your needs a little better and should take less than 10 minutes to answer.

Once completed, please e-mail your document to:

You may also send a secure fax to:

513-436-1528 (Attn: Intake)

Once we receive your intake form, we will review your information and contact you to set your initial Platinum Plus client meeting.

We look forward to hearing from you soon!