Client Forms

For your convenience we have provided downloadable forms. To save time in our office you may print out the General Intake Form and all other forms that pertain to your issue. Feel free to fill out the forms and bring them with you to your first appointment.

Intake Forms

Forms specific to smoking cessation:  Stop_Smoking_Intake_Forms (.pdf)


Forms for weight loss hypnosis:  Weight_Loss_Intake_Forms (.pdf)

Forms for most issues: Intake_Form_Set (.pdf)

Guided Hypnosis and Subliminal Recording Customization Form: CD_Customization_Form (.pdf)

Protected online version (for those wishing to submit their form online): Click Here 

Get Started NOW!

Call now or click below to schedule your first appointment or to take advantage of our FREE initial consultation!

You owe it to yourself to feel great, knowing that you are healthier and happier. Imagine your new found confidence, your increased energy and your positive outlook on life once you’ve made up your mind to reach your goals.


I welcome your questions!
(303) 731-6938
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