Symphony of Hope Music Therapy
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InTake Form
Symphony of Hope Music Therapy
Home
Meet Melody
Music Therapy
Services
Gallery
Contact
Events
InTake Form
More
  • Home
  • Meet Melody
  • Music Therapy
  • Services
  • Gallery
  • Contact
  • Events
  • InTake Form
  • Home
  • Meet Melody
  • Music Therapy
  • Services
  • Gallery
  • Contact
  • Events
  • InTake Form

Symphony of Hope Music Therapy Intake Process

Thank you for your interest in music therapy. Our mission is to bring healing, hope, and joy through the power of music for individuals of all ages and abilities. We utilize a form to help us understand your unique needs, strengths, and preferences so we can create the best possible music therapy experience for you.

Your privacy is important so this form will be received only by the music therapist. After completing it, you will receive a call within two business days to schedule your free phone consultation.

Please contact us first to arrange a phone consultation, then  download and complete this form to the best of your ability. 


NEW CLIENT INTAKE FORM

Please call Symphony of Hope Music Therapy  at (334) 440-6449 to arrange your phone consultation before completing the form. 

After you receive important information, click to download and complete the New Client Intake Form. You may email your completed form to:  symphonyofhopemusictherapyservices@gmail.com or provide it to your music therapist at your first session. 

InTake Form (pdf)

Download
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Symphony of Hope Music Therapy

3090 Woodley Road, Montgomery, AL, USA

(334) 440-6449 | symphonyofhopemusictherapy@gmail

Copyright © 2025 Symphony of Hope Music Therapy - All Rights Reserved.

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