Alexander Technique
Client Intake Form

The purpose of this form is get an overview of your relevant medical history, as well as any accidents that may have contributed to your current postural condition. All information is kept strictly confidential.


Please print this form, fill it out, then scan and email it HERE, or mail it to:

The Center For Applied Posture

2 Keeler Lane, North Salem NY 10560

Our NYC Office is currently unavailable due to COVID-19. A new location is To Be Determined in Fall 2020. Thank you for your patience.

2 Keeler Lane
North Salem, NY 10560

(Close to Routes 84 and 684)

Telephone: (917) 294-9177

Email: Click Here