Intake Forms

I require intake and consent forms to be completed prior to working with every client.

The intake form takes most people 10 to 20 minutes on average to complete, although some people have taken as long as an hour. If you complete these forms in advance of your first appointment, you will receive more of my professional time when we meet. That means more time to talk about your goals and to learn about and experience hypnosis!

Please be advised if you choose to wait to complete the forms during your first appointment, there is a possibility that we will not have time for a hypnosis session.

If we are meeting in person, I will provide you a consent form to sign. If we are meeting online, please ensure you sign the consent form where indicated using a handwritten or electronic signature, or a script type font if you are typing.

Please complete the appropriate forms, save them to your device and email back to me at [email protected]. Alternatively, if we are meeting at The BodyMind Centre, you may complete and print them, and bring to your first appointment.

If you have Adobe software downloaded on your device, you should be able to complete these forms as a fillable PDF, save and email back to me. If you don't, you can print and hand write them, then scan or take photos to send back to me.

It's best to send the forms to me at least 48 hours in advance of your first appointment, as that allows me time to review them and to plan the most effective customized session for you.

You may password protect them using “intake” or another password of your choice if you wish. I can also provide you with my mailing address if you prefer to mail them. However, your session cannot take place until these are received.

Please complete the intake and consent forms for hypnosis and/or OldPain2Go sessions, plus the jurisdiction form if you live outside of Canada. If you have any questions, please ask!