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Yes, I am accepting new clients

I am currently accepting new clients in Florida, New Hampshire, Oklahoma and Oregon. 

Intake Forms

All patients complete these two forms:

Intake Form

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Credit CardAuthorization Form

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Complete informed consent based on therapy modality:

Individual Therapy Informed Consent

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Group Therapy Informed Consent

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Clinical Hypnosis Informed Consent

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If group modality was chosen, chose specific group:

6 Week Bereavement Support Group Intake Form

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6 Week Motherhood Support Group Intake Form

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Healing from Relationship Loss 12 Week Group
Intake Form

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Introduction to Clinical Hypnosis Group Intake Form

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Seeking Safety Trauma Focused 8 Week Group Intake Form

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Free 15-Minute Consultation

Schedule My Consultation

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