HIPAA-Compliant Online Forms
Initial Consultation Questionnaire
Once you have scheduled your Initial Consultation with me, please complete this questionnaire at least 24 hours before our appointment time. Your answers will help me understand what brings you to coaching and what we should focus on in our Consultation. This ensures the best use of our time together and that we talk about the most important things to you!
Completion Time: about 15 minutes. Thank you!
If you are unable to complete the form in advance, we will need to reschedule your Consultation.
Credit Card Authorization Form
If you would like me to keep a card number on file for you for simplicity, please fill out this form. I will never charge your card without notifying you in advance, unless we agree otherwise.
Anytime I make a charge to your credit card, I will provide you with a receipt.
HIPAA Authorization for Release of Information
If you want me to share your confidential information with another party, please complete this form.