Client Intake Form :: Avalon Hypnosis

Client Intake Form

The Client Intake Form is helps us to obtain a brief medical history and understanding of your goals for hypnosis. The Client Intake form must be completed prior to your visit. Please complete and submit this online form. All information is kept in strict confidence. We will not be able to perform any Hypnosis sessions without this form.

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Client Intake Form

Client Intake Form

Step 1 of 3

Medical & Emotional History

About Your Desired Change

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