Forms

If you are a new hypnotherapy client, please complete the following forms and bring them to your first session.

If your issue involves a medical or psychiatric diagnosis, you may be required to obtain a signed referral by your primary care or mental health provider:

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, or psychotherapist), please complete the following form to authorize the release of your confidential information:

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