Register for an Initial Hypnosis Screening at Home or
a Free Phone Consultation Anywhere

Now there are (2) options to reserve an appointment for your initial one-hour screening and consultation. Complete the appropriate form below.

Option 1

You will participate in a private interview, assessment and receive a therapy plan from Dr. Smith or Dr. Vaughn. You will receive an interactive screening to PROVE that you can experience hypnosis.

  • You will receive at no cost a self-hypnosis recording  to reduce stress and anxiety. This is a $19.95 value.
  • Complete the appropriate registration form  in the brown box below. You must make a $35 payment with a debit or credit card to reserve your appointment.
Office Consultation are available upon request.

Option 2

You may choose a FREE private assessment and therapy plan for your lifestyle problem in the comfort of your home. However you must complete the FREE consultation registration below to reserve your appointment.

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 Consultation with Registration

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

mantra

WEIGHT LOSS

PAIN & MIGRAINE

STOP SMOKING

ANXIETY & DEPRESSION

ALCOHOL & DRUGS