New Client Intake Forms

In this day and age, we must all be discerning about to whom and when we give our personal information. Please be assured that any information you provide goes no further than to Align Within, LLC, specifically Lisa Sandine. Your information is used solely to assess your needs and preferences, and guide potential courses of action we will take together. Your privacy is protected in filling out these HIPAA compliant online forms.

If you are a new hypnotherapy client, please complete the below online Intake Forms at least 2 business days before your first session. To access them, you will need the password, which you receive in your confirmation email when booking or during your telephone consultation. If you are unable to complete the intake forms before your first appointment, please let me know so other arrangements can be made. If completed forms are not received at least 2 business days in advance and other arrangements have not been made, then your appointment will automatically be cancelled or rescheduled and you will be notified.

Our work together during session time is important and our focus will be on getting positive results. Online scheduling and payment provides ease, efficiency and convenience, while assuring that our session time together is spent meeting your needs and supporting your path of transformation!

 
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CODES OF CONDUCT

Policies are simply Codes of Conduct, and they represent a two-way street. They assure that professionalism and mutual respect are upheld by supporting consistent and clear responses to routine situations. They also help to clarify expectations which saves precious time and energy for everyone. This protects the sanctity of the client/therapist relationship and keeps us in good rapport, so that we can focus on getting positive results in our work together! Please take a few moments to read them.


 

NEW CLIENT INTAKE FORMS

These intake forms are for new hypnotherapy clients who have a consultation or session scheduled. Please complete the forms at least 2 business days prior to your first hypnotherapy session. 

 

 

AUTHORIZATION FORM

 

It is my standard of practice to work in partnership with other professionals so that clients receive the best care possible. The Authorization Form authorizes to release your information or to obtain your information. It is applicable only if you are under the care of a physician, psychotherapist, psychologist, psychiatrist or other medical health care professional for which you are seeking help with from Align Within, LLC. If you are uncertain if this form applies to you, we can talk about it together in order to determine if it’s applicable or not.