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Intake Already Submitted
Your information for case has been received. Your advisor will be in touch.
Property & Contact
Tell us about yourself and the property with the water concern.
Irrigation systems, livestock, commercial use, pool filling, etc. Leave blank if none.
Water Problem
Select everything that applies — you can choose multiple. We'd rather know too much than too little.
Laboratory Reports
Lab results help your advisor evaluate actual contaminant levels rather than relying on symptoms alone.
PDF preferred. Images of each page are acceptable. Please upload the complete report, not just a summary.
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PDF, JPG, PNG — up to 25MB
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That's okay. Your review can still proceed. Your advisor may recommend specific testing before a final treatment decision is made.
Existing Equipment
Understanding what's already installed helps your advisor evaluate whether it's part of the problem or the solution.
Please photograph the following
Clear photos help your advisor assess your system without a site visit. You don't need to identify the equipment — just photograph what's there.
Step back and capture all equipment in one photo if possible.
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Water entering the first piece of equipment.
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Water leaving the last piece of equipment.
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Any control valves, digital displays, or timer heads.
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Any labels showing brand name, model number, serial number. Don't worry if not visible.
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When was it last serviced? Has it had repairs? Leave blank if unknown.
Salt brand, filter cartridges, treatment chemicals, etc. "I don't know" is acceptable.
Dealer Proposal
If you've received a quote or recommendation from a water treatment company, sharing it helps your advisor evaluate it independently.
Upload the complete written proposal if you have it. Photos of a printed proposal are fine.
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Site & Hydraulic Information
This information helps your advisor size treatment equipment correctly. All fields can be marked "I don't know."
If you don't know an answer, leave it blank or select "I don't know." Your advisor will identify gaps that need clarification.
Well & Pump (Well water only)
Describe any limitations on where equipment can be installed (small utility room, crawl space, etc.)
Review & Submit
Please review the information you've provided. Use the Edit buttons to return to any section.
Before you submit
Please confirm all four of the following statements by checking each box.
Your Information Has Been Submitted
Thank you. Your intake for case is now complete.
What happens next
- Your advisor will review your submission.
- A confirmation email has been sent to your address.
- If any clarification is needed, your advisor will reach out.
- Scheduling will be arranged by your advisor — you will not be asked to self-schedule.
Your progress is saved
You can return to this form at any time using the link in your original confirmation email.