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You can use the below form to book your Hypnotherapy Session. Your preferred appointment time will be confirmed via email.

Client Intake Form: You are able to fill in this form and return it to me by pressing the send button at the bottom of the form at this link

It will come to my email and I will print it and have it waiting for you to date and sign when you arrive. This is helpful to do before the session as you don’t have to think on your feet so to speak and are able take your time to mention things that you might otherwise forget. And it will save you time by not needing to do this in your session time. Alternatively, I will ask you to fill in this form when you arrive on your first session.

  • Weekend appointments available.
  • I have experience working with children.



Your Address

As I will be travelling to your place of work or home, I will need to know where you are situated.
Please enter your preferred appointment date.
Please enter your preferred appointment time.