Davis Dynamics Forms
0. Client Form
1. Consent Agreement Form
2. Authorization Form
3. Financial Agreement Form
4. Permission Contact and Credit Card Form
5. Pateint Health Questionnaire


UPCOMING CHANGES ​Beginning Monday, October 15th, 2018, Jana Davis will be operating out of two offices. Mondays, Tuesdays, Wednesdays & Thursdays: Davis Dynamics 317 Office Square Lane, Suite 202B Virginia Beach, VA 23452 757-918-9874 This office is off of Witchduck Road in Virginia Beach. Jana's office is on the 2nd floor, using steps. Please note there is not an elevator. Fridays: For clients using TRICARE or Medicare insurances only, Jana will be at Coastal Counseling. Coastal Counseling 1417 N. Battlefield Blvd., Suite 260 Chesapeake, VA 23320 ​757-436-0605 Questions? Email Jana Davis: ​davisdynamicsworks@gmail.com

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Call or Text 757-918-9874  Davisdynamicsworks@gmail.com

Copyright © Davis Dynamics. All rights reserved.


Therapist, Hypnotherapist, Rapid Resolution Therapy Practioner