Client Intake Form
Please complete this form. The information will be utilized to help tailor your session to best suite your needs. Please note some treatments may require a signed medical release form prior to beginning of your hypnotherapy session. All information is strictly confidential.
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Print and Complete FormIf you are meeting with your Life Coach or Hypnotherapist in person. Please print, complete, and sign the Intake Form (available below in PDF format). Please bring the completed form with you to your first in person appointment.
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