1)  To have a preliminary understanding of the PSYCH-K processes that we will experience together, it is Required that prior to scheduling your first session you view the 73 minute video by originator Rob Williams: The Psychology of Change.


It is also Recommended that you watch the 69 minute video by cell biologist Bruce Lipton: Biology of Belief: Biology of Perception/ Psychology of Change prior to your first session.


With this preliminary understanding, you will have the highest level of preparation and your session time can be focused on the results you are seeking rather than explaining the process we'll be using ~ so you will have a more efficient and cost-effective session!


2)  Your customized private session will be focused on your specific and unique goals, desires, struggles and challenges indicated on your Intake Form. These goals may also change between sessions as transformation is experienced. 


3)  Once you have completed and submitted the Intake Form, use the PURCHASE link above to secure a one hour session for $145 fee.  If at the time of your session you choose to continue with additional Balances during that session, the $145 fee will be credited to the total amount and you can pay with cash or check (if in person) or credit card (for in person, phone, Zoom or Skype sessions) at the end of the session for the value of the extended time.


4)  I will then call you to schedule your session as soon as possible!  I will offer you several session time options, based on the days of the week and times of the day you indicated on your Intake Form.



All personal information is confidential and treated appropriately. 

Give one sentence that best describes your relationship with your parents.

Do you have physical challenges that would interfere with in-person muscle testing, using the arms?  (e.g.: back/neck/arm pain or injuries)    

Are you experiencing any physical conditions? (allergies, illnesses etc.)

Do you require any assistance with mobility impairments?

Please list any prescriptions or drugs you are currently taking.

List the techniques, processes or therapies in which you have participated or that you have experienced.

How did you find PSYCH-K®?

Goals… What are the top three things you would like to address?

What is missing from your life? What would make your life more fulfilling?

In your opinion, what accomplishments must occur during your lifetime so that you will consider your life to have been satisfying and well lived – a life of few or no regrets?

In General, what days of the week and times of the day are ideal for you?

I understand and agree that I am individually responsible for my own life and its unfolding. As an expression of my responsibility I am seeking assistance with the beliefs that manifest my reality, but the actual manifestation of that reality is up to me. I’m committed to my session(s) and understand that cancellations or rescheduling of appointments requested less than 24 hours prior to my session time detrimentally affects everyone.   



Thanks for submitting!