FOR CLIENT INTAKE FORM, CLICK BELOW

Client Intake Form

ABOUT MY GUARANTEE

It means just what it says. I want you to be completely happy with my services. You come to me for the services I provide. If those services do not help you then I think it is fair that you do not pay for them. I will never ask for payment up front. Only after the session is finished and you are satisfied will I ask for payment. If after that you think in anyway that the session did not help you, the guarantee is still in place. At which time I will either do another session with you or refund you your payment. It will be your choice. Please note that sometimes one can relapse because of repeating the things that got you there in the first place. That is one of the reasons learning Stress Relief is so important. Should this happen I will always offer a "tune up" session to you at no charge along with the guarantee anyway. I want you to be happy. If you are happy you will spread that happiness to others and it will help change the world we live in.

PAYMENT

Payment is due at the time of your appointment.

PLEASE NOTICE: I NO LONGER

TAKE CREDIT CARDS

CANCELLATION POLICY

If you must cancel or reschedule a minimum 24-hour notice is requested. Your appointment time is reserved exclusively for you and it is usually not possible to fill a 2-hour time slot on short notice. For emergency situations, please notify me as soon as possible. Thank you for your courtesy and understanding.

INSURANCE

Insurance is not accepted and other third party claims are not filed. Most insurance companies consider Hypnosis as alternative therapy and do not pay for it.

CLIENT REFERRAL BONUS

Referrals from satisfied clients are greatly appreciated. Receive credit for one Hypnosis Session toward a future Hypnosis Session for each new client referral.

CHILDREN & TEENS

Appointments for children under age 18 require written permission from parent or guardian. The parent is present during the introduction to Hypnosis portion of the session. I prefer to limit my practice to teens and adults. Younger children respond well to listening to hypnosis recordings and I am happy to make custom CD's for that purpose and teach the parents how to use them.

MEDICAL REFERRALS

More and more people are asking their physicians for information on various complementary therapies. A survey conducted by the American Medical Association found that 58% of the physicians were in favor of their patients using complementary therapies. As many as 66% of patients surveyed by the American Medical Association are using complementary therapies. The highest percentages of utilization are those with chronic illnesses for which traditional therapies offer little relief or hope-chronic pain, fibromyalgia, irritable bowel syndrome, migraines, arthritis, psoriasis, OCD, etc. Some other chronic conditions are vastly improved with the help of Hypnosis, such as diabetes. Hypnosis can assist in overcoming addictions, when used in conjunction with a substance abuse program, by providing motivation, reducing withdrawal symptoms, and increasing self-esteem.

Self or Physician Referrals

No referrals are required for non-medical conditions such as smoking, weight loss, stress, confidence, etc. Clients may self-refer for medical or mental health conditions, but I require a signed, written release from your licensed medical or mental health professional.

I do not attempt to treat or diagnose disease or mental disorders of any kind. Hypnosis in no way replaces standard medical procedures, but works in conjunction with them by freeing the patient of feelings and attitudes that may be inhibiting his or her response to them. Through hypnosis, one uses the natural facilities of the mind to create a positive attitude and boost the immune system, allowing the client to make the most of the medical help available. Hypnosis helps to create strong positive expectancy and reduce stress.

Clubs, Schools, Corporations or Any Other Groups

I am available for demonstrating the powers of Hypnosis. Whether it is a serious demonstration to learn how Hypnosis can help in most walks of life, making better salesmen, better productivity in the office or a special program design just for you. I will also do a FREE Stress Relief Session for everyone at the same time. The number one killer today is stress. For more information please call 772-408-0040.

Want to change your life and others too?

Why not become a Certified Hypnotist? This is an exciting way to make a living and help others change their lives and realize their dreams too. It is a win win situation for everyone. For more information on this exciting field, please contact me at 772-408-0040

Always remember the power to change your life resides right there within you, right now - just waiting for your instructions.

Please contact me at 772-408-0040 to discuss your situation. Confidential phone consultation is free.