Client Forms

For your convenience and to save time at your first appointment, we have provided the forms below for you to sign and/or review before visiting OptimaLife Wellness. Please email completed forms and/or any questions to info@optimallifewellness.com. We look forward to working with you!

Consent Forms

Please complete and sign the following forms prior to your first session. Email the completed forms to info@optimallifewellness.com.

• Consent for Services
• Consent for Energy Psychology

HIPAA & Department of Health Notices

Please download and review both the HIPAA Notice of Privacy Practices and the Department of Health publication.

• HIPAA Notice of Privacy Practices
• Department of Health’s Counseling or Hypnotherapy Clients

Release of Information

If you anticipate needing your clinician to communicate with another person and/or you’re a minor between 13–25 years of age and dependent on a parent for scheduling and/or insurance billing, please complete the Release of Information form.

• Release of Information Form