[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”3.0.79″][et_pb_fullwidth_header title=”New Client Intake Form” background_layout=”dark” text_orientation=”center” background_overlay_color=”rgba(214,208,250,0.37)” _builder_version=”3.0.82″ title_font_size=”50px” background_image=”https://lisawelchskincare.com/wp-content/uploads/2017/08/AdobeStock_153029654.jpeg” parallax=”on” custom_css_title=”text-shadow: 2px 4px 3px rgba(0,0,0,0.3);”][/et_pb_fullwidth_header][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.0.105″ custom_css_before=”display:block;||position:absolute;||content:”;||right: 0;||left: 0;||z-index: 10;||height: 19px;||background-size: 20px 100%;||top: -19px;||margin-bottom: -1px;||background-image: -webkit-gradient(linear, 0 0, 300% 100%, color-stop(0.25, transparent), color-stop(0.25, #3498db));||background-image:||linear-gradient(315deg, #fff 25%, transparent 25%),||linear-gradient( 45deg, #fff 25%, transparent 25%);||background-position: 50% 50%;||”][et_pb_row _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.0.82″]Please fill out the New Client Intake form listed below. Simply click on the Start button and fill in the information as it appears.
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