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Hypnotherapy Application Form


Hypnotherapy Booking Process

As an experienced clinical hypnotherapist specialising in regression therapy, I offer a variety of hypnosis techniques that can be utilised to guide you on your healing journey.


In order to progress with the booking process, I require you to complete the application form for hypnotherapy below. 

 Within 48 hours of receiving the completed form, I will contact you via email to arrange a telephone or zoom call to discuss your hypnotherapy journey and to book your session. (Please check your spam/junk email folder if you haven't received an email in this time frame).

Please do take a look at the hypnotherapy techniques that I offer. During our telephone or zoom conversation, we will decide which technique is best suited to your healing journey.


At the time of booking, an invoice will be sent for a deposit  to be paid within 24 hours in order to secure the date. After the session date is secured by deposit, a further invoice will be issued for the remaining cost of the session.  This should be paid at least 48 hours before a remote session, or on the day if you are attending the clinic. 

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