Mind Body Journeys with Gina Vance Interactive Hypnotherapy &  Guided Imagery

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Gina Vance
(209) 527-9761
1724 G Street
Modesto, CA 95354
gina@mindbodyjourneys.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form
  • Questionnaire
  • Limits of Confidentiality/Cancellation Policy Form
  • Practice Disclosure Form 

Client Intake Form  
Confidentiality and Cancellation Policy  
   
Practice Disclosure Form  
Questionnaire  

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