Intake Forms

GENERAL PRE-TREATMENT
INTAKE FORM

ACUPUNCTURE & HYPNOSIS PATIENTS

This questionnaire about your general health is required before commencing treatment.

INFORMED CONSENT FOR TREATMENT

ALL PATIENTS

All new patients at Blue Phoenix Wellness are required to complete and sign this form

HYPNOSIS TREATMENT PATIENT INTAKE FORM

HYPNOSIS PATIENTS

This form is required for new Hypnosis/Hypnotherapy patients .

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