GHITA THERAPY: Gold Coast Counselling, Couples Counselling, NLP, EMDR, Hypnotherapy, Life Coaching
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      • Gottman Method Marriage Counselling >
        • One Day Couples Retreat - Gottman Package
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    • Packages 2025 >
      • Package One: One Day Couples Retreat Gold Coast (Gottman)
      • Pre-Marital Agreement Workshop - Gold Coast
      • Package Three: Five Weeks Couples Therapy Gold Coast
      • Package Four: Intensive One Day Couples Retreat (Couples in Crisis)
      • Package Five: Intensive Two Day Couples Retreat (Couples in Crisis)
    • Resources for Couples >
      • Free Ebooks: Tips and Hints for Couples
      • Gottman Couples Commitment Quiz
      • Online Couples Counselling
      • Straight Talk with Ghita - Videos
      • Will Couples Counselling Help Toxic Relationships?
  • Couples Retreats
    • One Day Couples Retreat Gold Coast ​(Gottman Method)
    • Intensive One Day Couples Retreat (Couples in Crisis)
    • Intensive Two Day Couples Retreat (Couples in Crisis)
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    • Hypnotherapy for Anger
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    • Eye Movement Desensitisation and Reprocessing
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      • NARCISSISTIC RECOVERY PROGRAM
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    • Past Life Regression
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Intake Forms: 

Online bookings for Currumbin receive a link to the online Intake Form

Ghita's Forms (Currumbin)
​Counselling or Hypnotherapy

Online Intake Forms
Individuals who have made appointments via the Booking System have the option of filling in an online Consultation Form on Timely, or downloading the printable forms below. 
counselling_intake_form_ghita_therapy_word_format.docx
File Size: 63 kb
File Type: docx
Download File

intake_form_ghita_therapy_pdf_format.pdf
File Size: 134 kb
File Type: pdf
Download File

hypnotherapy_client_intake_form_new_logo_-_word.docx
File Size: 60 kb
File Type: docx
Download File

hypnotherapy_client_intake_form_new_logo_-_pdf.pdf
File Size: 411 kb
File Type: pdf
Download File

​Email forms to: [email protected]
Kathie's Forms (Ormeau)
​Counselling
Word/ PDF Intake Forms:
Clients are welcome to fill out forms in session. However, to save time, clients have the option of downloading the forms and printing them out and bringing them to the appointment.
counselling_intake_form_kathie_halse.docx
File Size: 32 kb
File Type: docx
Download File


​How to Get the Most of Therapy:
  • Printing and filling out the intake form will save ten minutes in session
  • Bring any notes that you have with you

​Client Privacy
Your personal information and stories will always remain confidential. We limit the information given online through an encrypted booking system and manitain a secure hardcopy filing system.
​More on Privacy and Confidentiality

Copyright All Forms - Ghita Andersen 2023
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  • Home
  • Individual Counselling
    • Anxiety and Stress Counselling >
      • EMDR for Anxiety & Stress
    • Art Therapy
    • Depression Counselling
    • Grief and Loss Counselling
    • LBGTIQA+ Counselling
    • Men's Counselling - Gold Coast
    • Spiritual Counselling
    • Teen and Adolescent Counselling - Gold Coast
    • Walk and Talk Counselling
    • Women's Counselling - Gold Coast
  • Couples Counselling
    • Introductory Pages >
      • How to Prepare for Couples Counselling
      • 20 Points to Consider Before Booking
      • Couples in Crisis >
        • Couples in Crisis One Day retreat
      • Testimonials
    • Methods >
      • Gottman Method Marriage Counselling >
        • One Day Couples Retreat - Gottman Package
        • Couples in Crisis One Day Retreat
      • Andersen Method Couples Counselling Gold Coast
      • Family Therapy
      • Same Sex Couples Counselling
    • Packages 2025 >
      • Package One: One Day Couples Retreat Gold Coast (Gottman)
      • Pre-Marital Agreement Workshop - Gold Coast
      • Package Three: Five Weeks Couples Therapy Gold Coast
      • Package Four: Intensive One Day Couples Retreat (Couples in Crisis)
      • Package Five: Intensive Two Day Couples Retreat (Couples in Crisis)
    • Resources for Couples >
      • Free Ebooks: Tips and Hints for Couples
      • Gottman Couples Commitment Quiz
      • Online Couples Counselling
      • Straight Talk with Ghita - Videos
      • Will Couples Counselling Help Toxic Relationships?
  • Couples Retreats
    • One Day Couples Retreat Gold Coast ​(Gottman Method)
    • Intensive One Day Couples Retreat (Couples in Crisis)
    • Intensive Two Day Couples Retreat (Couples in Crisis)
  • Anger Management
    • Hypnotherapy for Anger
    • Neuro-Linguistic Programming
  • EMDR
    • Eye Movement Desensitisation and Reprocessing
    • PTSD >
      • NARCISSISTIC RECOVERY PROGRAM
  • Hypnotherapy
    • Past Life Regression
  • NLP
    • Time Line Therapy
  • Life Coaching
    • Ghita Life
  • About
    • About Ghita Andersen
    • About Kathie Halse
    • Ghita Life (Life Coaching)
    • SHOP >
      • Books By Ghita Andersen
      • Gift Vouchers
      • Ghita's Art For Sale
  • Teletherapy
  • Reviews
  • FAQ
    • Art Therapy Corporate Teambuilding and Mental First Aid
    • Cancellation Policies
    • Covid Safe
    • Disclaimer
    • Employee Assisted Programs
    • Forms >
      • Intake Forms
    • Mobile Counselling Service
    • Privacy and Confidentiality
  • Fees
    • Concessions
  • Media
    • Ghita's Blog
    • Instagram Ghita Therapy
    • LinkedIn
    • Relaxation Audio
    • Spotify PODCAST
    • YouTube Channel
  • Contact
  • Book Now
    • Book Appointment Currumbin
    • Change Your Currumbin Booking
    • Booking Advice