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. 




Walking with you on your journey of self-exploration, self-improvement, and self-fulfillment.

Forms