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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.

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 implied to be a substitute for professional medical advice.
I understand as parents we are responsible for our baby's safe sleep and Just Love Sleep is not liable in any way.
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