Forms

Consent to Treat

This form provides information about Heart Pond Energetics and provides authorization for clients to receive treatment. Click to download.

Brief Client Intake Form

This form is used as an introduction to your healing plan. It provides basic contact information and health history. Click to download.

Release of Information

This form allows Heart Pond Energetics to confer with a different health care practitioner should you so choose. Click to download.

The Details

Before you become a Heart Pond Energetics client, we may ask you for some documentation to help Cathy get to know you and your background, or allow different practitioners to confer about your health.

At Cathy's direction, please print and complete the forms appropriate for your case. Completed forms can be emailed to heartpondenergetics@mail.com.