TSM – Custom Intake Form Packets

  • Training for the Sport of Motherhood: Custom Intake Packets

    Our custom forms can accommodate 3-4 lines of text and a reasonably-sized logo.
  • Please enter your email address for delivery of your finished custom intake packet.
  • Please enter the practitioner's name as you would like it to appear on the intake forms, including any titles or qualifications.
  • Please enter address, email, phone, website, or any other contact information you'd like to display on the form.
  • Please include additional contact information here, or anything else you'd like us to include *IF* there is enough room in the customization area to include it.
  • Please upload a logo, header graphic, or other image file for the top section of each form in the intake packet.

    Files must be in .jpg, .gif, or .png format. We recommend a logo at least 100 x 100 pixels. Maximum file size: 5MB.
    Accepted file types: jpg, gif, png.
  • Please choose a typeface for the custom text portion of the forms. The body of the form will be in Century Gothic, and if no other font is selected, the custom text will also be in Century Gothic.
  • Please indicate your preferred color for the custom text, in HEX or R/G/B format. The body of the form will be black (#000000 or 0/0/0), and the custom text will be left that color, if no alternate is indicated.
  • By checking the box above, I am confirming that I understand that Lifemoves Health, LLC will make every effort to accommodate my preferences, as indicated in this form, but that it may not always be possible to do so. I also confirm my understanding that complete custom forms can take up to four weeks to process.
  • This field is for validation purposes and should be left unchanged.
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