In-person hypnosis IntakePlease fill out the information below and I will follow-up with you shortly! Name * First Name Last Name Email * Which appointment option(s) works best for you? * Tuesday, Day Tuesday, Evening Wednesday, Day Wednesday, Evening Thursday, Day Friday, Day Weekend, Day Other - Please specify below Additional message/specific date requests/questions, etc What brings you to the practice of hypnosis? * What are the most prevalent issues you would like to work on today? You can list a few in order of importance. * Preferred pronouns Thank you!
