Ascension Hypnotherapy & Wellness

CLIENT FORMS PORTAL

Please complete these forms before your first session. (Your first session for any package is ~20 minutes longer to include suggestibility testing, learning how you process information, and building your personalized plan. You are not billed for that extra time.)

Client Intake Form

Comprehensive intake to begin your healing work.

Fill Out

Service Agreement

Purpose of services, session policies, and responsibilities.

Open

Credit Card Authorization

Secure billing authorization for sessions.

Authorize

Life History Questionnaire

Deep, holistic view of your story, patterns, and needs.

Complete

Client Application for Hypnotherapy Services

Confirm alignment, readiness, and goals for transformation.

Apply

Chakra Journal & Tracker

Required reflective tool for all plans & programs.

Open Journal
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