Intake Forms Packet includes Co-Therapist Information Form, Participation Agreement, and Confidentiality Form for new clients. You may fill out and sign electronically or print, fill out and scan.

NOTE: THIS IS THE REQUIRED PAPERWORK FOR ALL NEW CLIENTS

This Authorization for Release of Information form authorizes Cory S. Brown, CMS-CHt to communicate with your provider to best meet your needs.

NOTE: THIS FORM IS REQUIRED FOR THOSE WHO SEEK HYPNOTHERAPY SERVICES AS AN ADJUNCT TO CURRENT MEDICAL OR MENTAL HEALTH TREATMENT.

If you are registered to attend a workshop or other event, please fill out the Workshop Participation Form and submit prior to workshop.

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If you are under the age of 18 years old, a parent or guardian must fill out the Underage Workshop Participation Form and submit prior to workshop.

If you scheduled an appointment for Smoking/Nicotine Use Cessation please fill out the Smoking/Nicotine Use Questionnaire and submit prior to your appointment.