Get Client Intake Form - Hypnosis And Past Life Regression Therapy

Completing the Client Intake Form for Hypnosis and Past Life Regression Therapy is a crucial step in your therapeutic journey. This guide will provide clear and concise instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete your client intake form online.

1. Press the ‘Get Form’ button to access the intake form and open it in your preferred editor.
2. Begin by entering your personal information, including your name, date, address, city, zip code, phone number, email, date of birth, and occupation in the designated fields.
3. Indicate how you heard about the service by circling all applicable options, including internet sources, friends, or other outreach methods, and adding any additional information in the space provided.
4. Respond to the question regarding past treatments for emotional problems, selecting ‘Yes’ or ‘No’. If you choose ‘Yes’, please provide more details in the space provided.
5. Answer the section that asks about treatment for specific medical conditions and any recurring or chronic pain, providing details where applicable.
6. Let us know if you are under the care of any healthcare professionals and include details if relevant.
7. Indicate any prior experiences with hypnotherapy or kinesiology by choosing ‘Yes’ or ‘No’, alongside any explanations in the provided spaces.
8. List any phobias, as well as any obsessive, compulsive, or addictive behaviors, in the appropriate sections.
9. Clearly state what you wish to achieve through hypnosis in the designated area, providing as much detail as possible.
10. Review the Practitioner/Client Agreement section, ensuring you understand its contents. Sign and date the form, and include the name you prefer to be called.
11. Once you have filled out all sections, save your changes. You may also choose to download, print, or share the completed form as needed.

Take the first step in your therapeutic journey by completing your client intake form online today.