Client Forms

If you are new to Hypnosis or therapy, please be sure to fill out the following forms and bring them to your first session. This will allow as much time as possible to be spent focusing on you at your appointment. If you do not have access to a printer, please let me know when you arrive so that I can print them for you and have you complete them during your appointment time. They take about 7-10 minutes to complete.

Client History

Practice Agreement

Privacy Practices
*You don’t need to print this one out, but you do need to review it and sign that you reviewed it on your Practice Agreement.

Release of Information – You only need to complete this if you would like for me to speak with another professional or doctor, such as your primary doctor, a psychiatrist, or another psychologist.