Client Forms

Note: If you are a new Victress client, please complete Intake Forms 1 and 2, as well as the Confidentiality Form.

Electronic Forms:

Intake Form 1

Intake Form 2

Confidentiality Form

Additional Forms:

Hypnotherapy Intake Form

Group Registration Form

If you would like to collaborate your session with another provider, simply fill out the following form:

Authorization for Release of Information

Printable Forms:

Intake Form 1

Intake Form 2

Confidentiality Form

Billing Policy

Credit Card Authorization Form