Hypnotherapy Cumbria | Judy Richardson Tel: 07531159976
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Client forms

Client Information Forms

Please download the forms and bring them with you to your first session (to keep your personal information secure please do not email them to me). If you have any questions or concerns between now & your appointment give me a call – I am here for you!
Depending on the device you are using you may want to download the forms as a docx file or PDF so I've included both.
Please note both these files contain the same information so you only need to download one.
Client intake form - Please print and sign.
client_information_sheet_copy.docx
File Size: 23 kb
File Type: docx
Download File

PDF version
client_information_sheet_copy_2.pdf
File Size: 110 kb
File Type: pdf
Download File

Covid-19 permission form - Please print and sign.    (Only use if working together face to face)
resource_-_covid_-_pre-treatment_questions_040820.docx
File Size: 63 kb
File Type: docx
Download File

PDF version

resource_-_covid_-_pre-treatment_questions_040820_1_.pdf
File Size: 180 kb
File Type: pdf
Download File

Zoom form - Please print and sign. (Only use if working together via video)
my_zoom_online_hypnotherapy.docx
File Size: 14 kb
File Type: docx
Download File

PDF version

my_zoom_online_hypnotherapy.pdf
File Size: 82 kb
File Type: pdf
Download File

Judy Richardson Hypnotherapy Cumbria

Getting in Touch couldn't be easier!
Please call 07531159976​​​ for a free confidential telephone consultation or contact me here. I will be delighted to hear from you.
Judy Richardson - Hypnotherapy Cumbria 


Not sure if hypnotherapy is suitable for you? I'm happy to answer all your questions and discuss how hypnotherapy can help you. I look forward to hearing from you. Judy Richardson - hypnotherapist
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Tel:       01229 208023  | Mobile: 07531159976​​
Email: Judy@hypnotherapists-cumbria.com
Judy Richardson, Mardale Cottage, Great Urswick, Ulverston, Cumbria LA12 0SX
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  • Home
    • About Judy
  • Help with....
    • What kind of issues are treated?
    • Stress, Anxiety & Panic Attacks
    • Fears & Phobias
    • Habit & Behaviour Change
    • Weight management
    • Quit Smoking
    • IBS
  • Therapies
  • Sessions & pricing
    • Fees
  • Locations
  • Happy clients
  • Free MP3's
  • Contact
  • Subscribe
  • Resources
    • Client forms
    • Therapy resources
    • Stop smoking resources
    • Weight loss resources
    • Books
  • Hypnotherapy in the news
  • Covid-19 information
  • Terms and conditions
    • Privacy Policy
  • MP