If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.
Interest form for the STD Support Group Called Breaking Out/Being Free
Interest Form for Coaching Services
Interest form for the Tapping Into Wellness Group for Women
Interest form for Hypnotherapy Only Services
Client Satisfaction Survey for NEW clients
Client Satisfaction Survey for EXISTING clients
Clinical & Business Consultation Form
Test Anxiety Questionaire Form (for data gathering purposes only)
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.