I am willing to be guided through relaxation, visual imagery, creative visualization, hypnosis and stress reduction processes and techniques for the purpose of vocational or avocational self-improvement. I understand that the hypnosis I am receiving is not a substitute for normal medical care and I have been advised to discuss this hypnosis with any doctor who is taking of me now or in the future. Additionally, I should continue any present medical treatment and consult my medical doctor for treatment for any new or old illnesses. Services are non-transferable. Sessions may be audio recorded for your protection, along with the hypnotist.
Thank you for submitting your Hypnosis intake form! In the meantime, if you have any questions, please email me at firstname.lastname@example.org or call me at 615-475-8336. I look forward to our session!