If you're a first-time client, please review and complete the following forms, bring them to your first session.
- Client Intake Form
- Limits of Confidentiality/Cancellation Policy Form
- Client Motivational Index & Goals Forms
- Telephone Hypnosis Policy and Procedures
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
Client Motivational Index and Goals Forms
Required prior to appointment for Performance Coaching & Breakthrough sessions
Telephone Hypnosis Policy and Procedure
Required for Telephone Hypnosis services
Do you really want it?
What is your motivation?
Note: To download Adobe Acrobat Reader for free, click here.
