Client Forms

Please complete these steps prior to your initial appointment.
Failure to complete these steps might result in the need to reschedule your initial appointment.

For New Counseling Clients:

Please read, complete, and bring this intake packet to your first session:

Progressive Counseling & Hypnosis Intake Packet

(Counseling Clients Only)

After your intake, complete this form weekly and bring it to your session:

Weekly Session Discussion Form

(Counseling Clients Only)

For New Hypnosis Clients Only:

Please complete this packet and send it via e-mail (jmolinari@progressivecounselingandhypnosis.com) or via fax (410.992.7073) at least 48 hours prior to your appointment.

Progressive Counseling Hypnosis Intake Packet

(Hypnosis Clients only)


Authorization for Release of Information

Limits of Confidentiality



7350 Grace Drive
Columbia, MD 21044

jenmolslight@gmail.com
(410) 709-3974

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