Patient Forms Please fill out the following intake forms before your first session. Patient Intake Form Consent to HIPAA Consent For Telepsychology & Online Hypnotherapy Please email me the following cards: Insurance Card / Drivers License Upload Authorization for Release of Information Personal Relationship History Questionnaire Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Pinterest (Opens in new window)Click to share on Reddit (Opens in new window)Like Loading...
