Please read and complete the following forms prior to our initial visit. Feel free to contact me with any questions you may have.
New Client Intake Forms – For all incoming patients
Session Agenda Form– To be completed prior to appointments (optional)
- Credit Card Authorization– Optional, for ease of payment
- Release of Information – To allow consultation with other individuals and providers
- Informed Consent for Clinical Hypnosis -Complete in addition to intake packet
- Online/Telephonic Therapy- Informed Consent – For online services
Parents, if the patient is a child under the age of 18 please print out and complete this form: