Client History Form

 

If you have decided to permanently rid yourself of those feelings and emotions or that physical problem that you don’t like and you have contacted us about scheduling your hypnosis sessions you can now fill out the client history form.

 

We provide you with 2 options:

 

1. An online form which you can access at Online Client Form.

 

2. A form you can print out, fill out by hand and bring to session.

    Click here. (pdf file)*

 

* The form requires Adobe Reader. If you do not have Adobe Reader, click here to download free copy

Note: All the information on this form is 100% confidential and will only be used to help us understand your life and your needs in hypnosis. Your email address will not be sent or sold to any other third party.