Midcoast Clinic
OF HYPNOTHERAPY
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OF HYPNOTHERAPY
Midcoast Clinic
Midcoast Clinic of Hypnotherapy
HomeAboutResearchFormsContact

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Forms

For your convenience, common client forms can be viewed or printed in advance of your visit. Please contact us if you have any questions.

Client Forms
Disclosure of Services
Acknowledgement of Services and Fees
Health Appraisal Indicator
Personal Data Record
Consent to Release Information
Parental or Custodial Consent
Request for Medical Referral
Request for Therapist Referral


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