Forms and Useful Documents

The following forms are provided in Adobe Acrobat format (PDF), for the convenience of new and current clients of Dr. Brian Hooper. (These forms require the Adobe Acrobat Reader.) If you are visiting Dr. Hooper for the first time, you may wish to download and print these prior to your appointment. Thank you.

New Client Forms

• Pastoral Counseling Agreement
• Counselee Intake Form (PDF)
• Hypnosis Consent Form (PDF)
• HIPAA Privacy Rights Form (PDF)
• Credit Card Authorization Form (PDF)

Additional Forms

• Insights Page (PDF)
• Neurolinguistic Learning Channel Profile (PDF)
• Hypnosis Questionnaire and Recording Order Form (PDF)
• Life Performance Inventory (PDF)
• Life Assets vs. Behavior Liability Inventory and Worksheet (PDF)
• Mate Traits Worksheet (PDF)
• Smoking Cessation (PDF)
• Release of Info (PDF)