Register for a Private Phone Therapy Consult or a Free Consultation in the Comfort of Home

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Now there are (2) options to reserve an appointment for your initial one-hour consultation.

1. You may choose the demonstration of Hypnosis as well as, a private assessment and a therapy plan for your lifestyle problem in the comfort of your home.

2. OR  you may choose FREE private assessment and therapy plan for your lifestyle problem in the comfort of your home. Office consultations are available upon request.

  • If you choose demonstration of HYPNOSIS complete the appropriate registration form below. You must make $35 payment with a debit or credit card to reserve the appointment.
  • If you choose to participate in a private assessment the consultation is FREE. However, you must complete the Free Consultation Registration below before your’re contacted for an appointment.

General Registration Form

Anxiety & Pain Relief

Weight Loss Registration Form

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Stop Smoking Registration Form

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.

WEIGHT LOSS

PAIN & MIGRAINE

STOP SMOKING

ANXIETY & DEPRESSION

ALCOHOL & DRUGS