{"id":6989,"date":"2015-07-20T14:07:35","date_gmt":"2015-07-20T19:07:35","guid":{"rendered":"https:\/\/rolandberard.com\/individual-form\/"},"modified":"2025-10-30T13:29:06","modified_gmt":"2025-10-30T18:29:06","slug":"individual-form","status":"publish","type":"page","link":"https:\/\/rolandberard.com\/en\/individual-form\/","title":{"rendered":"Individual form"},"content":{"rendered":"

(Confidential for practitioner use only)<\/p>\n

This form will be sent online once you have completed it and given your consents. This will give Mr. B\u00e9rard the opportunity to review it before the meeting and will save a lot of time during the first meeting. Once the form has been sent, you will receive a copy by email.<\/p>\n

If you are unable to complete the form in one go, you can click the link at the end (Save and continue later) and the form will be saved. You will receive a secure link so you can return to it later to complete it.<\/p>\n\n

\n Formulaire individuel (English)<\/legend>
<\/span>

Individual Intake Form<\/h3>

Please fill out the form and answer all the starred boxes.<\/p>\n

If you receive an error message, the form cannot be sent so check if all the starred boxes have been checked, including the consents and the answer to know if you want to be on my mailing list.<\/p>\n

Thank you for taking the time to share this valuable information.<\/p><\/div>

<\/div>