Forms & Links

Hypnotherapy is an amazing therapeutic tool for helping control weight, addiction, healing and motivation.

Here you can find the necessary form required to quickly and efficiently help you achieve the results you desire.

Please download the client information form below; fill it out and bring it with you to your first meeting and/or session.

Please click in the button below to download the necessary form to print out and bring to your first appointment.

Choose only one package.

Intake package
Client intake forms & non smokers

Smokers Intake package
Smoking cessation Intake forms

Regression Therapy
Past Life Regression Intake forms

When using hypnotherapy in conjunction with other health-minded practices, the effects are super-charged.

Here is a list of practitioners and professionals we recommend for helping you achieve total health, mind and spiritual wellness:

CAREER

The Actors-Network (Actors resources and helpful information)

HEALTH & SPIRIT

The Wellness Center (Chiropractic & Massage)
Eileen Zegar, L.Ac. (Traditional Chinese Medicine)
Spirit Trainers Yoga (yoga & meditation)
Hypnotherapistregister.com (Find Practitioners in the UK & Ireland)

GREEN LIVING

Packing Partners (Green moving & packing supplies)
Eco-petals (Green clothes)
Yolocolorhouse (Green paints for your home)
Global Green (environmental crusaders)

Webmasters: Click to submit your site for listing consideration

Ok, so I'm writing to let you first know that last night I think I got the best night of sleep I've gotten in like four years! I went to bed at 8:30pm I felt so relaxed and ready to just gently let myself be consumed with lovely sleep. I think it took all of about three minutes for me to slip into slumber. I was awakened a couple of times in the night by the kids, but was able to actually quickly fall right back into a restful sleep. It was utterly amazing and I attribute it all to you and what you taught me! I can't wait to utilize all the wonderful tools you showed to me. :-)
--Shanon Shul
Actress, N. Hollywood, CA

I was as big of a skeptic as anyone when it came to hypnosis, but my productivity has over doubled since my first session with JC. He has made a true believer of me and I have never had more focus on my writing.
--Brenton Metzler Writer/Producer
Glendale, CA

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