Required before appointment
Required Forms

Medical referral
A medical referral is required for hypnotherapy to ensure the safety and appropriateness of the treatment for the patient. Hypnotherapy can be a powerful tool for addressing various psychological and physiological issues, but underlying medical conditions must be first identified and managed by a healthcare professional. This referral helps to confirm that hypnotherapy is suitable for the patient’s specific needs and that no contraindications or potential risks are involved. Additionally, a referral from a medical professional ensures that hypnotherapy is integrated into a comprehensive treatment plan, promoting holistic and coordinated care.

Declaration of health condition (COVID-19)
This questionnaire is required one day before every scheduled appointment.

Questionnaire for new clients
This questionnaire should be filled out before the first appointment.

Client-Hypnotherapist Feedback
Please fill out this questionnaire if you would like to share your feedback and help improve my services.

Overcoming procrastination
This questionnaire may be useful to complete before the first session if you want to overcome procrastination.

Weight Loss Management
This questionnaire may be useful to complete before the first session if you would like to lose weight.