Hypnotherapy intake
Complete this secure intake form before your first hypnotherapy appointment.
Complete the intake formForms in one clear place.
Complete the intake form before your first appointment. Other forms marked Required are needed only when requested; the remaining forms are optional or apply to a specific booking.
Book an appointment using a voucher
Use this form when you would like to arrange an appointment using an iHypnosis voucher.
Book with a voucherMedical referral
Please print and ask your GP or relevant clinician to complete this referral where requested.
Print and completeDeclaration of health condition (COVID-19)
Complete the health declaration before an in-person appointment when requested.
Complete onlineQuestionnaire for new clients
Helpful background information that can save time during the initial assessment.
Complete onlineClient–Hypnotherapist Feedback
A confidential feedback form about your experience of the therapeutic process.
Complete onlineOvercoming procrastination
A focused questionnaire for clients working with procrastination and motivation.
Complete onlineWeight Loss Management
A focused questionnaire for clients seeking support with weight-management habits.
Complete online