Med Res Rx Individual Psychotherapy and Hypnotherapy Intake Form

Individual Psychotherapy and Hypnotherapy with Dr. Denise:

  1. Please fill out this form to accompany your request for assessment and management of your issues with Dr. Denise Koh.  
  2. Complete all relevant information on this form and then submit.  
  3. Dr. Koh will review your responses and contact you by email to discuss a plan and potential appointment dates. 
  4. Please email Dr. Koh at drdenise@medresrx.com if you (any of): 
    1. have any questions; 
    2. have not received a response from Dr. Koh within 2 weeks of submission of this form; 
    3. would like to become an affiliate of the app; or
    4. would like to collaborate with Dr. Denise on creating a program tailored for your group!
  5. Please note that Dr. Koh has a wait list and is currently prioritizing app members (Founding and Regular App Members; does not include free/trial accounts) and MedResRx patients (requires valid Canadian health card/information).  
    1. She is offering subsidized coaching/therapy spots to current Members (including Founding and Regular App Members; does not include free/trial accounts) of the MedResRx Hypnotherapy App.
  6. If you are a Current Founding Member of the Hypnotherapy App, please indicate in the comments.  Founding Members get prioritized care, including prioritizing upcoming/discounted/free programs!
  7. You can check out Dr. Denise's testimonials 
  8. You can check out offers on the MedResRx Hypnotherapy App


For Group Hypnotherapy/Blitz sessions with Dr. Denise:

  1. use the abbreviated form:  https://forms.gle/CukTQTx17HXrroQd6
  2. To see the current schedule check out:  https://drdenisekoh.com/group-zoom-hypno-blitzes 
  3. Dr. Koh will review your responses and contact you by email to plan a quick call and potential appointment dates and/or email you the Zoom links.  


Get ready to enjoy this treat you are giving yourself!    

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