Click the purple button below to download & print our intake forms:

Please email our intake staff your forms after you have completed them.

(Take photos or scan each completed form & email them as an attachment)

Our email address is:

A member of our staff will contact you once your forms are received.      

Thank You!

            You may also self book your online appointment below: 

© 2020 by Mind Shine  LLC- All Rights Reserved.

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1631 Midtown Place, Suite 104 Raleigh, NC 27609

Tel: (919)366-4073