INTAKE PACKET

Dear New Client,

Congratulations! You are taking the first step in your journey of self-exploration, self-improvement, and self-fulfillment.

Please print, complete, and return the Intake Packet before your first appointment.

Please scan and email, or fax, the items listed below to drg@therapywithdrg.com or 844-398-7224 before your first appointment:

• Intake Packet
• Copy of the front and back of your Insurance Card
• Copy of your Photo ID
• Authorization number, # of sessions, & date span of authorization (if applicable)

Hypnotherapy Clients:

Please print and complete the Hypnotherapy Questionnaire before your first hypnotherapy session. 

Forms