Creative Healing Intake Form

(Art Therapy)

Finding Inspiration in Every Turn

This form is for individuals of all ages who are beginning transpersonal art therapy with us.

It gently gathers background details, support needs, and personal goals so that we can offer a space that is safe, responsive, and nurturing.

[Fill Out Creative Healing Intake Form Below]

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Before You Begin

We invite you to take a quiet moment before starting.
This form is a space for you to gently share what feels right. You're welcome to respond in as much or as little detail as you feel comfortable —

there’s no pressure, only an open door.

Every story begins somewhere. We'll meet you right where you are.

Art Therapy Intake Form

Welcome to Creative Healing

REL Artizan studio

Hello and welcome — I'm so glad you're here.

This form is the first step in getting to know you (or your child) and your hopes for the creative journey ahead. I understand that seeking support is a tender and meaningful decision, and I want to honour that from the very beginning. Here at rel artizan studio, every session is a gentle invitation — to express, explore, and connect through the healing language of art.

Whether you're here for emotional support, sensory exploration, or simply a space to be yourself, I'm here to walk alongside you with care, creativity, and curiosity.

Scope of Service

rel artizan studio offers non-diagnostic, arts-based therapeutic support for emotional wellbeing and creative expression. We do not provide clinical assessments or psychiatric services. If more specialised or medical care is required, appropriate referrals may be recommended.

Your Therapist

Robyn Laycock

Transpersonal Art Therapist | Fine Artist

Bachelor of Visual Arts – Edith Cowan University
Postgraduate Diploma in Visual Arts – Edith Cowan University
Advanced Diploma in Transpersonal Art Therapy – The Ikon Institute
Currently completing a Master of Therapeutic Arts Practice – MIECAT Institute (2025)

Studio Details

rel artizan studio

58 Duncraig Road, Applecross WA 6153

www.relartizan.com.au

rel@live.com.au | 0407 382 073

Thank You for Taking This Step

We deeply appreciate the time, thought, and care you’ve taken to complete this form. Your responses help us begin to understand your unique story and how we can support you through the creative and therapeutic process.

If you have any questions, or there’s anything else you’d like to share before your first session, please feel welcome to reach out.

Warmly,
Robyn
Transpersonal Art Therapist
rel artizan studio