Intake Form

Please fill out the form below with as much detail as possible. The information you provide is kept confidential and only used to assist me in formulating your sleep plan and follow up support.

I acknowledge that teaching my child 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 child to sleep better.
I have ensured that my toddlers sleep environment is safe and in line with SIDS guidelines. I understand the information provided by Just Love Sleep is not intended or implied to be a substitute for professional medical advice. I understand that as parents I am responsible for my toddlers safe sleep and Just Love Sleep is not liable in any way.