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Forms

Downloadable Forms

Forms for New Clients

New Clients    Please click on the folder below (Forms for New Clients) to open up a PDF file containing instructions, forms, and disclosures for your first appointment.  Complete the forms and bring them with you to your appointment.  Make copies for your files if desired.


Forms Package






Individual Forms

Initial Intake Form nwmh Consent Form nwmh Professional Disclosure
Intake Form nwmh Consent Form
nwmh Professional Disclosure
Privacy Practices - Brief Version Privacy Practices - Full Version WA DOH Disclosure
nwmh Privacy Practices
Brief Version
nwmh Privacy Practices
Full Version
WA DOH Disclosure
Client Testimonial Authorization for Release Child Treatment Consent
Client Testimonial Release of Information Child Treatment Consent

HypnoBirthing® Forms

Course Enrollment Insurance Form Birth Report Course Evaluation
Course Enrollment Insurance Form Birth Report Course Evaluation



"I know of no more encouraging fact than the unquestionable ability of man to elevate his life by conscious endeavor."
Henry David Thoreau
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