Complete A Confidential Registration Form

Now you have a choice to register for a Hypnotic Screening. We will prove you can experience hypnosis before we customize A plan to put you back in control of your behavioral and mental health challenge.

Let’s Get Started with Registration today to receive fast, effective, and lasting results with clinical hypnosis.

  • The purpose of the Hypnotic screening is to find out if you’re a good candidate for hypnosis. It is educational and uncommonly interesting experience.
  • We will explain all fees, procedures and service guarantees so you can make an informed decision.
  • You are welcome to have another person sit in with you during the initial consultation.

Participate in a hypnosis screening and receive a Self-Hypnosis recording for stress control And reinforcement for change, $35.

Participate in a FREE hypnosis screening to determine if this is a good fit and appropriate for you.

General Registration Form

Anxiety Control &
Pain Relief

Weight Loss Registration Form

Stop Cravings &
Emotional Eating

Stop Smoking Registration Form

No Weight Gain &
No Withdrawal

Free Weight Loss Registration

Free Stop Smoking Registration

Free General
Registration

We will contact you to set an appointment once your completed form has been received. During the Screening, affordable programs and payment options will be offered.

mantra

WEIGHT LOSS

PAIN & MIGRAINE

STOP SMOKING

ANXIETY & DEPRESSION

ALCOHOL & DRUGS