Changed Life Institute

Get Started

Forms

All forms for beginning and continuing the restoration process are here. New clients typically complete forms in the order listed below.

1

New Client Intake

Form 3-A

Begin Here

The foundational intake form — 9 sections covering your situation, patterns, what you've tried, spiritual life, and readiness. Complete this first.

Start Form 3-A
Form 3-B — Couples

Couples Supplemental

For couples — to be completed together after both individual Begin Here forms are submitted. Covers relationship state, conflict, patterns, and intent.

Start Form 3-B
2

Required Agreements

All new clients complete these three agreements before beginning services.

Form 3-C

Professional Service Agreement

Outlines the nature of services, expectations, and structure of working together with Dr. Hill.

Read & Sign 3-C
Form 3-D

Informed Consent & HIPAA

Your rights, confidentiality policy, HIPAA protections, and how your information is used and protected.

Read & Sign 3-D
Form 3-E

Financial Responsibility Agreement

Session fees, payment policy, cancellation guidelines, and financial responsibilities for services.

Read & Sign 3-E
+

Other Inquiries

Restoration Inquiry

For individuals, couples, or families with questions before beginning. A starting point if you're not sure which form applies.

Start This Form

Practitioner Application

For leaders, counselors, coaches, and practitioners interested in the Changed Life Institute Practitioner Pathway.

Start This Form

Event Interest

Register interest in upcoming gatherings, workshops, conferences, and training events.

Start This Form

Scholarship Request

Financial barriers should not prevent access to restoration. Submit a scholarship request here.

Start This Form
Not Sure Where to Start?

New clients start with Form 3-A

The Begin Here form (3-A) is the starting point for all new clients. After that, we'll guide you through the remaining steps. If you have questions before filling out anything, reach out directly.

Begin Here (3-A) → Ask a Question

Questions Before You Fill Out a Form?

We respond to every inquiry personally within 2 business days.