Intake Form

Please fill out the form below with as much detail as possible and be assured the information you provide is kept confidential. This enables a complete assessment to be done of your current sleep situation and helps assist me in formulating your sleep plan.

I acknowledge that teaching my baby good sleep habits requires a strong level of commitment. We are ready for change and are prepared to put in the work and keep consistent.
I agree to have minimal commitments in our daily life and aim to be home for naps so we can focus 100% on teaching our little one to sleep better
I have ensured that my little ones sleep environment is safe and in line with SIDS guidelines. I understand the information provided by Just Love Sleep is not intended nor is implied to be a substitute for professional medical advice. I understand as parents we are responsible for our babies safe sleep and Just Love Sleep is not liable in any way.