Forms
-Hope Floats
THERAPY AND BEHAVIOR CONSULTATION
After you have called to book an appointment for counseling or behavioral services, please print out and complete the following packet as applicable. The packet includes all forms required at our practice. We are aware the information is quite thorough…as an integrative practice, we see the value in reviewing the complete picture to assist you in the most comprehensive manner. Please arrive 10 minutes prior to your initial appointment with forms completed.
ADULT FORMSAdults age 18 and older
PRIVACY POLICY
For your review-does not need to be returned
AUTHORIZATION FOR RELEASE OF INFORMATIONAllows us to consult with other individuals, professionals, or organizations involved eg. psychiatrist, psychologist, former therapist, school, etc.
PRIVATE WELLNESS SESSIONS
This applies to the following:
- Life/Wellness Coaching (Planning Your Path to Wellness, or to Passion and Purpose)
- Nutritional Session
- Pain Relief Session
- Private Restorative Sound
- Private Yoga or Meditation
After you have scheduled your appointment, please print and complete the following form. Please arrive 10 minutes prior to your appointment with completed forms.
CLASSES AND WORKSHOPS
Our weekly classes do not require pre-registration: Peaceful Mind, Qi-Gong, and Yoga (with the exception of Recovery Yoga, which has a special form below). Please complete the following form and bring to your first class. This also applies to monthly workshops, including Inner Spa for the Mind and Community Wellness.
GROUPS
Support and therapeutic groups do require pre-registration. After calling our office to register, please complete the following as appropriate and bring to the first group session.
GROUP CONSENT
4 and 8 week groups
