FORMS INDEX

Office Procedure Forms

1) Phone Answering Protocol
2) Client Payment Record (To be attached to a weekly or monthly appointment calendar)
3) Waiting List
4) Gift Certificates & Envelopes (Business Cards & Pamphlet to be included w/Certificate)
5)MH – Fax Transmittal Form
6) MH – CD Order Form

Client Required Forms

1) MH – Hypnotic Intentions
2) Chronological Record – First Session Basic
3) Chronological Record – First Session Complete
4) Chronological Record – Subsequent Sessions
5) MH – Client Bill of Rights
6) MH – Client Contract Form
7) MH – Client Feedback Questionaire
8) MH – Client Information Form
9) Confidential Information Release
10) MH – Parental Approval Form
11) MH – Physician Referral Form
12) MH – Psych Referral Form
13) MH – Health Care Provider Letter copy
14) MH – Satisfaction Survey #2
15) MH – School Absence Form
16) MH – Smoking Input Form
17) MH – Self-Esteem Input Form
18) MH – Stress Input Form
19) MH – Weight Input Form

Client Resource Tools

1) MH – After Your Session copy
2) MH – 2 minute daily self hypnosis
3) MH – Eye Roll Self Hypnosis
4) Positive Suggestions for Self-Hypnosis
5) MH – Meditation Sequence
6) MH – Emotional Freedom Technique
7) Improving Posture & Breathing
8) MH – Breathing Techniques
9) MH – Shopping List Guidelines
10) MH – Sleep Preparation Check List
11) MH – Smoking Questionaire
12) MH – Smoking Cessation Suggestions
13) Worksheet for Body Scans
14) MH – Weight Management Suggestions copy