If you're a new client, please complete the following forms and bring them to your first therapy session.
If an Online CLient, please print, scan and email them to Info@hypnosis4life.net or fax them to (970) 550-7636
- New Client Intake Form
- Handwriting Sample Instructions
- Acknowledgement of Services & Fees
- Financial Agreement - Distance Client
- Referral Form
- Limits of Confidentiality/Therapy Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.