PSYCH-K® New Client Form

Please read and complete the following form prior to your first session.


The PSYCH-K® process is strictly limited to the modification of beliefs. When PSYCH-K® is used in relation to a health condition, its purpose is to engage the mind/body’s natural self-healing processes in order to complement, not replace, usual, customary, and reasonable medical treatment and medical care by qualified medical practitioners. The PSYCH-K® process is not designed to diagnose medical conditions, or to treat, heal, or cure any disease, illness, physical disability, medical problem or mental illness, whether chronic or acute. PSYCH-K® is not a replacement for appropriate medical attention or professional health care. PSYCH-K® is not medical advice and should not be treated as such. The Facilitator, Verity Correll, expressly disclaims responsibility, and shall have no liability for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on PSYCH-K® processes for engaging the mind/body’s natural self-healing response.



Any information that is disclosed during PSYCH-K® sessions will be treated as privileged and confidential. The facilitator may keep notes as a record of the session and to assist with future sessions. Please let the Facilitator know if you would like a copy of these notes.


Cancellation Policy

A minimum of 24 hours’ notice is required for session cancellations and rescheduling. In the event that notice is not given, a 50% cancellation fee will apply.


Personal Responsibility

I acknowledge that by engaging Verity Correll for Facilitation of PSYCH-K®, I am holding her harmless from any damages, loss, injury, or liability whatsoever that I might suffer as a result of my reliance on PSYCH-K® processes for engaging my mind/body’s natural self-healing response. I understand and agree that I am individually responsible for my own life and it’s 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.


Further, I agree not to teach any PSYCH-K® processes that I may learn or intuit to others in any way. I agree that leaving the Facilitation of PSYCH-K® in the hands of those who have been specifically trained to do it help maintain the integrity of the process, which is a benefit to me and all others who use PSYCH-K®.


In-Person Hours

Wed & Fri: 8am - 1pm

Gold Coast Address

2/133 Laver Drive

Robina QLD 4226


Online Hours

Tue & Thurs: 8am - 6pm

Wed & Fri: 2pm - 6pm

©2020 by Good Vibes Health & Wellbeing.