Individual Sessions with Dr. Patricia Carrington


Application Form:

IMPORTANT NOTE:  Please review the information in the FAQ before filling out the form.


Please provide the following information by typing it into each blank box:

Section1:

Name:

Street Address:

City:

State or Province:

Postal Code:

Country:

Telephone:

E-mail Address:

Fax
(if available):

Choose Your Age Group:

Please answer the following questions by typing the answer to each question into the blank box beneath it:

Section 2:

1.     Are you an experienced EFT (MTT) user or new to the technique? 

 

2.     Have you tried Tapping for the specific issue(s) you would like to address with Dr, Carrington?
 

3.     Have you used Tapping successfully for other issues in the past? 

 

4.     What is the goal you would you like to achieve in this program?
 

5.     Describe the specific issue(s) you would like to work on with Dr. Carrington and give some background about yourself (please make this write-up of reasonable length, we do not need every detail about you, but do want to know you a bit)
 

6.     Have you consulted a Meridian Tapping or  EFT Practitioner before?  Is so, it would be useful to give their name (name optional).
 

7.     Have you ever received psychotherapy other than Meridian Tapping-based?  If so, how did you respond to that therapy?

 

8.     If you are currently undergoing psychiatric treatment or receiving any form of counseling or coaching, would your practitioner approve of having you work with Dr. Carrington in this program?

      

9.   How did you find out about this program.
 

Once I review your application, I will notify you by email. There may be several days delay as I go through all the applications but you will hear soon.

If you have any questions about this form, email: notetopat@yahoo.com

Thank you so much for considering this opportunity.

With best wishes,
Pat Carrington

 

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