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  Forms
Phone: 206-271-9280
  Jennifer L. Batts, MS



First Visit

It may save you time at your first visit if you print out and complete the following forms and bring them with you. Otherwise, copies will be provided at your first visit.

  • New Client Registration- Please complete basic information about yourself.

  • Counseling Clients- Washington State requires all counselors and hypnotherapists to provide you with a copy of this document. You will need Adobe Acrobat Reader to download.


  • Other Forms

  • Authorization to Release Patient Information- Please fill out this form for each of your providers you would like me to consult with.
  • ESCAPE