Intake Form

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