Contact Team Ampersand

We Want to Hear from You

From small questions to big challenges, we got your back, contact us. (Well, technically Elizabeth handles backs, but you get the picture.)

All Services

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Visit Us

7 Bristol Ct. Wyomissing, PA 19610

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Phone

(484) 516-2206

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Email

info@ampersandintegrative.com

Ampersand Integrative Wellness

Get In Touch

We pride ourselves on high level of customer care, and will make every effort to respond with 24 hours (Mon-Fri).

Ashley Borgatta
Mental Health Services
Email · (484) 663-4620

Elizabeth Brunner
Massage Therapy & Cupping
Email · (484) 388-9784

Brooke Craig
Wellness Coordinator & Educator
Email · (484) 869-2891

Whitney George
Nutrition Services
Email · (610) 914-3235

Jesse Hershey
Personal Training
Email · (570) 772-8488

Lori Kuhn
Grief Counselor
Email · (484) 516-2206

Ariana Miley
Yoga & Meditation
Email · (610) 823-4225

Stefano Sarge
Personal Training
Email · (720) 431-9622

Gabrielle Warner
Trauma Touch Therapy
Email · (610) 568-2948

General Intake Information

Please complete this abbreviated intake form to begin your journey in healing.
Congratulations! You are taking the first steps towards complete wellness.

Your Name (req'd)

Your Email Address (req'd)

Your Phone Number (req'd)

Your Gender (req'd)
MaleFemaleUndisclosed

Your Address (req'd)

How Did You Hear About Us? (req'd)

How Would You Like to be Contacted for Follow-Up?
{Please note the follow up appointment will take about 45-60 minutes}
PhoneEmail

Your Occupation

Referred By:

The nature of your responses to the following questions will go a long way in assisting our understanding of your truest needs. Your time, thoughtfulness and honesty in completing this overview is greatly appreciated.

What brings you to seek wellness counseling? (req'd)

What services are you interested in? (req'd)

How are you feeling mentally, physically, and emotionally today, and in recent months? (req'd)

What behaviors/habits do you currently engage in regularly that you believe support your health? (Please list) (req'd)

What potential obstacles do you foresee in your health journey? (req'd)

What three (3) expectations do you have from working with Ampersand? (req'd)

What do you love to do (what brings you joy)?

What if anything should we know about you?