Welcome!  You are about to participate in The Imagination Process Experience because you desire some kind of change or transformation in your life. The Imagination Therapy Team looks forward to meeting and working with you for this transformational adventure. As part of registration for this process, we ask that you read and complete this form to officially register and to understand more about the process and our policies.    

The Imagination Process is an “experiential process” asking you to participate at the highest level you are able.  The work is designed to access any unconscious energy, pain or trauma stored in your memory and in your body so that you may live a life of joy, peace and love and reverse any negative patterns, which no longer serve you.

Experiential processes include writing, art, movement, dance, breathwork, meditation, sound, regression, visualization and drama therapy.  These processes allow one to feel, experience, express and release pain from inside the body so to clear out negative experiences and messages.

Some of the expressive therapeutic arts also involve touching or being touched by the facilitator or the group.  Said touch may include handholding, hugging, tapping, learning on one another, and similar non-sexual touching.  Our therapeutic team will take all normal precautions to maintain physical safety during sessions but client must assume all risks of accident resulting from unintentional movements.

Please be aware that The Imagination Process serves as a practicum/training for students at Soul Studies Institute, (our not for profit educational institute offering coursework, internships, supervision and continuing education to students perusing their BA or MA degrees.)  Please be informed that students in training participate in team meeting planning and facilitation of your process and therefore are privy to certain important information concerning your life and family history. 

Please check the box below to indicate that you have read, understand, agree and give your consent to participate in The Imagination Process and all aspects described above.

Please continue to complete this form regarding other policies and agreements.

Continuing Education

CEs for this workshop are approved by the State of Florida through the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling, (Provider Number BAP#743 Exp. 3/2009); also approved for the following:Florida Council of Licensed Midwifery, the Florida Board of Psychology, the Office of School Psychology and the Board of Acupuncture. Are you interested in Continuing Education Credits for this workshop?

Payment and Insurance

Your insurance company may reimburse you for a portion of the fees for The Imagination Process. We require payment prior to the workshop, however we are glad to file your insurance for your reimbursement. Do you have insurance, and would you like us to file for you?

Prior to filling out this form, you have discussed fees and payment options with our office. Please check the appropriate box below concerning your payment commitment for The Imagination Process.


The Whole Process: Includes 3 Weekly Phases, 3 Weekend Intensives, 3 Breathwork Intensives, Workbook, and Individual Appointments Every Other Week.


The Whole Process: Includes 3 Weekly Phases, 3 Weekend Intensives, 3 Breathwork Intensives, Workbook, and Individual Appointments Every Week.


This includes One Phase and One Workbook.


This includes One Weekend and One Workbook.


This includes One Weekend Intensive with a Pre and Post Life and Family History Evaluation and Treatment Planning.


The Whole Process: Includes 3 Weekly Phases, 3 Weekend Intensives, 3 Breathwork Intensives, Workbook, and Individual Appointments Every Other Week.

If I am on a payment schedule of $50 per week, I understand I am paying for the process over a period of one year, which means that payment in full will be due on or before the following date:


Please explain any other payment option you have agreed on with our business office.

By checking the box below you are agreeing and committing to the financial payment schedule and responsibility for payment of The Imagination Process.

Refund Policy: Any monetary refunds will be provided if cancellation has been received in writing seven days prior to the start of the program with any completed services deducted at the normal non-discounted rate per service for therapy, group or workshop sessions; in addition to an administrative fee of $250. Participants are responsible for payment in full of the program regardless of weeks missed. Solutions Center will offer the opportunity to attend a comparable workshop or therapeutic service to anyone not canceling within the time specified.

Agreement Summary

Please check the box below to indicate that you understand the work you are about to do, and give consent for treatment.

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